| NPI | 1538390463 |
|---|---|
| Former Name | ANDREA LYNNE DENNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401412582) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412582) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-07-27 |