NPI | 1053553800 |
---|---|
Former Name | JESSICA L DUNBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH069972) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: PA PHDH000381) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2017-08-29 |