NPI | 1285139915 |
---|---|
Former Name | DANIELLE LYNN VOLANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015644) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS0000010975) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: GA DN015644) | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2022-09-30 |