NPI | 1669635512 |
---|---|
Former Name | EMILY ANN DASINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 464-13) |
Additional Taxonomies | 122300000X Dentist (Licence: MS 3491-08) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2018-03-17 |