NPI | 1730593047 |
---|---|
Former Name | MARJORIE ATTIMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014920) |
Additional Taxonomies | 122300000X Dentist (Licence: GA DN014920) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2020-12-13 |