NPI | 1083147367 |
---|---|
Former Name | JORDAN TORRINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN22566) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN22566) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2018-08-28 |