NPI | 1386186856 |
---|---|
Former Name | ALYSSA K EMORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 30481) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2020-12-18 |