NPI | 1346321031 |
---|---|
Former Name | LAURIE J BRIGHTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN0013474) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2007-07-08 |