NPI | 1962495507 |
---|---|
Former Name | ARLENE JOY GODINEZ TSANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9561) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52125) |
Enumeration Date | 2005-08-30 |
Last Update Date | 2009-01-13 |