NPI | 1689885998 |
---|---|
Professional Name | ADRIANNE L GOLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 15636) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN 9643) |
204E00000X Oral & Maxillofacial Surgery (Licence: TN 50224) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2014-08-28 |