NPI | 1730353772 |
---|---|
Former Name | SUNNY LYNNE PARKHURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IA 08287) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 8287) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2021-06-11 |