| NPI | 1528674116 |
|---|---|
| Former Name | ALLISON HAYNIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 7132) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2026-04-29 |