NPI | 1922116706 |
---|---|
Other Name | TERESA A HOLZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00008145) |
Additional Taxonomies | 122300000X Dentist (Licence: NM 1774) |
122300000X Dentist (Licence: OR D7431) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2007-07-26 |