| NPI | 1366127607 |
|---|---|
| Other Name | MARYCLAIRE KIERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6001312-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033087) |
| Enumeration Date | 2023-06-15 |
| Last Update Date | 2025-01-09 |