NPI | 1255581674 |
---|---|
Former Name | MARJORIE BAPTISTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 055854) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: MA DN22233) |
Enumeration Date | 2008-09-22 |
Last Update Date | 2014-03-27 |