| NPI | 1083788491 |
|---|---|
| Other Name | MARIE FARRAR BALDREE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS5163) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2012-12-31 |