NPI | 1912090952 |
---|---|
Former Name | MARIETTA CUIFFO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 7772) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 0423791) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-06-20 |