| NPI | 1043410152 |
|---|---|
| Former Name | TAMMIE K NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401008679) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008679) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2014-07-21 |