| NPI | 1407890056 |
|---|---|
| Former Name | TAMMIE LAJUANA ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 3094) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 56262CA) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-10-01 |