NPI | 1255856415 |
---|---|
Former Name | LINDSAY JANE DEACON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: VA 0401415771) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401415771) |
Enumeration Date | 2017-08-09 |
Last Update Date | 2023-06-14 |