NPI | 1962413351 |
---|---|
Former Name | SIGRID E. TATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D07927) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12009673A) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2013-12-31 |