| NPI | 1912246364 |
|---|---|
| Former Name | LISA ANNETTE BUDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 62803) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 056520) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2016-03-10 |