| NPI | 1346812831 |
|---|---|
| Former Name | MADALYN JOAN SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125J00000X Dental Therapist (Licence: MN DT141) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H11069) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2023-06-26 |