NPI | 1184400079 |
---|---|
Former Name | SARA DAWN THOMAS FRIAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002026628) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-LIC-5934) |
124Q00000X Dental Hygienist (Licence: AZ H05213) | |
Enumeration Date | 2023-09-06 |
Last Update Date | 2023-09-07 |