| NPI | 1366755159 |
|---|---|
| Former Name | CHERYL MARIA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122922) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA 122922) |
| 1223G0001X Dentist, General Practice (Licence: TN 9352) | |
| 1223G0001X Dentist, General Practice (Licence: AR 3846) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2023-03-07 |