| NPI | 1043552029 |
|---|---|
| Former Name | BLANCHE ALEXANDRA BARTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 31521) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 202183) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2020-06-23 |