NPI | 1932886819 |
---|---|
Former Name | ION ZOLOTCO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00205560) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205560) |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-07-06 |