| NPI | 1497208730 |
|---|---|
| Former Name | LINZI PRYOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10928) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 8610) |
| 1223G0001X Dentist, General Practice (Licence: KY 10928) | |
| 122300000X Dentist (Licence: FL 28823) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2024-04-17 |