| NPI | 1659387983 |
|---|---|
| Former Name | KERRY MAGUIRE ELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20458) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 6577) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |