| NPI | 1912524596 |
|---|---|
| Former Name | ROXANNE DUDOVITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032747) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2020018228) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2025-03-10 |