NPI | 1639112766 |
---|---|
Other Name | JO-ANNE LAVOIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: NH NH2600) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NH 2600) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2021-06-15 |