NPI | 1063623635 |
---|---|
Former Name | JOSEPH MARCH BOYLES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 00006502) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2007-07-08 |