| NPI | 1275917395 |
|---|---|
| Former Name | BRITTNEY MARQEE MACKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10227) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 4071) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2016-10-05 |