| NPI | 1326475518 |
|---|---|
| Former Name | LAUREN PATRICIA GREGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 30860) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 7151-15) |
| 122300000X Dentist (Licence: IL 019.029526) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2015-07-30 |