NPI | 1710094438 |
---|---|
Former Name | LAUREN ANN COOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN011065) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: DC DEN4973) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2010-12-29 |