NPI | 1033528344 |
---|---|
Former Name | CYNTHIA DENISE TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1858253) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.026367) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2024-03-27 |