NPI | 1326024670 |
---|---|
Professional Name | BRANDI LYNN TINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 21113) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2025041900) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2025-10-02 |