NPI | 1073718920 |
---|---|
Former Name | MARY-MARGARET WILLIAMS WARRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027535) |
Additional Taxonomies | 122300000X Dentist (Licence: IN 12010980A) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2012-01-23 |