NPI | 1093020372 |
---|---|
Former Name | REBECCA W BYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: PA DS039409) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MD 10486) |
Enumeration Date | 2010-08-11 |
Last Update Date | 2020-06-08 |