NPI | 1942610696 |
---|---|
Other Name | JOHN SYRBU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 09010) |
Additional Taxonomies | 122300000X Dentist (Licence: MN 13358) |
Enumeration Date | 2014-05-03 |
Last Update Date | 2016-08-23 |