NPI | 1972161958 |
---|---|
Former Name | SARA J PERRONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VT 016.0133898) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VT 016.0133898) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2023-08-09 |