NPI | 1962761411 |
---|---|
Other Name | MOSHOOD B MARTINS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.024340) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS038978) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2016-01-05 |