| NPI | 1588217202 |
|---|---|
| Former Name | DANIELLE GRIFFIN OWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN28738) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN015917) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2025-01-27 |