NPI | 1275765919 |
---|---|
Former Name | JAMES MILES DAYLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 64567) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 7405372-9921) |
Enumeration Date | 2009-08-13 |
Last Update Date | 2015-09-08 |