NPI | 1215477146 |
---|---|
Former Name | SARAH BROOKE SYKLAWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 6120-C1) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2017-02-24 |