| NPI | 1689687741 |
|---|---|
| Former Name | CARYN JOY MARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2002011130) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 60131) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-10-12 |