NPI | 1053707729 |
---|---|
Former Name | CARA LYNN WELDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN20185) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2018-06-22 |