NPI | 1972829158 |
---|---|
Former Name | LISA MIYUKI KAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI 3150) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 204195) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57932) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 30856) | |
Enumeration Date | 2010-04-14 |
Last Update Date | 2024-12-04 |