| 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 |