NPI | 1447212170 |
---|---|
Former Name | VIRGINIA KATHLEEN WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 14083) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AL LNO 3910) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2012-09-19 |