NPI | 1073742896 |
---|---|
Former Name | LINDSEY M BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: LA 5959) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 9005) |
122300000X Dentist (Licence: MO 2013008863) | |
Enumeration Date | 2009-07-14 |
Last Update Date | 2017-03-03 |