NPI | 1285014076 |
---|---|
Former Name | APRIL ANN DAMMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D13766) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D009221) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2019-10-02 |