| NPI | 1588911572 |
|---|---|
| Former Name | ALYSE GRANT DASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401413720) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401413720) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-06-10 |