| NPI | 1730477738 |
|---|---|
| Former Name | LINDA AYANA EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64133) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 10507) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2015-01-14 |