NPI | 1093779746 |
---|---|
Former Name | ANNAMARIE DENIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS026270L) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 8426) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2024-06-06 |