NPI | 1487000733 |
---|---|
Former Name | AMY E PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN20209) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2024-02-15 |