| NPI | 1982051033 |
|---|---|
| Former Name | ALEXANDRA UNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 11001) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D13651) |
| 122300000X Dentist (Licence: VA 0401415483) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2018-07-08 |