NPI | 1235530247 |
---|---|
Former Name | CATHERINE ROSE HARKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS104937) |
Additional Taxonomies | 122300000X Dentist (Licence: TN 9929) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2020-07-08 |