NPI | 1508230749 |
---|---|
Other Name | DEBORAH BLAUVELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-LIC-1074) |
Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-LIC-1169) |
Enumeration Date | 2015-11-28 |
Last Update Date | 2015-11-28 |