| NPI | 1710391511 |
|---|---|
| Former Name | ALYSSA VIGNERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: HI DT-2843) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00203333) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-07-14 |