| NPI | 1508153198 |
|---|---|
| Former Name | BRIDGET ELAINE MACLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61878) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-09-27 |