| NPI | 1043289481 |
|---|---|
| Former Name | MARJORIE COWEE WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CT 011421) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: MA 21371) |
| 1223P0700X Dentist, Prosthodontics (Licence: SC 4438) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-08-20 |