NPI | 1295908028 |
---|---|
Former Name | LAUREN GRAHAM POSLUSZNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: OH 30.024410) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH 30.024410) |
Enumeration Date | 2008-04-13 |
Last Update Date | 2019-08-01 |