| NPI | 1518113299 |
|---|---|
| Former Name | SUNNSHINE MARIE WELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D4715) |
| Additional Taxonomies | 122300000X Dentist (Licence: ID 4715) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2024-04-24 |