NPI | 1225052020 |
---|---|
Former Name | DENISE ANNE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN14692) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN14692) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2018-10-11 |