| NPI | 1750692190 |
|---|---|
| Former Name | ALEXIS DAYSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: DC DEN1000905) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MD 14532) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2013-06-07 |