NPI | 1619925427 |
---|---|
Professional Name | DEBORAH LEE MARYNAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OR 9570) |
Additional Taxonomies | 122300000X Dentist (Licence: MN 9656) |
122300000X Dentist (Licence: OR D9570) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2015-03-03 |