| NPI | 1649692005 |
|---|---|
| Former Name | MAUREEN TIMMENY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN1856047) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2015-02-03 |