| NPI | 1275055220 |
|---|---|
| Former Name | MARY MARLYS BARRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 150) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 4196) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |