| NPI | 1639434749 |
|---|---|
| Former Name | DEBBIE LYNN DARIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN19841) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19841) |
| 122300000X Dentist (Licence: MA DL13650) | |
| 122300000X Dentist (Licence: FL 19841) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2019-08-29 |