NPI | 1720300585 |
---|---|
Former Name | SARAH BARROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MO 2020028340) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019.028117) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2020-11-10 |