NPI | 1962805846 |
---|---|
Other Name | GHINWA ABDEL SAMAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: MO 2015010816) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019030061) |
Enumeration Date | 2014-10-06 |
Last Update Date | 2020-02-14 |