| NPI | 1548239700 |
|---|---|
| Former Name | DANA THERESA AUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15061) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 15061) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401411000) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2023-10-18 |