| NPI | 1184972283 |
|---|---|
| Former Name | BILLIE R GOLDWYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 0563211) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |