NPI | 1285828343 |
---|---|
Other Name | MEGHAN MAUREEN SULLIVAN WALSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS040751) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 8487) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2021-12-20 |