| NPI | 1356712731 |
|---|---|
| Former Name | BRITTANY DUERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 12092409-9922) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-09324) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2022-07-19 |