| NPI | 1396719019 |
|---|---|
| Other Name | TAWANNA MICHELLE THONDIQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 012157) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 8474) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-03-29 |