| NPI | 1346527512 |
|---|---|
| Former Name | DOREY MAY SWANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN H6143) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 5943-16) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |