| NPI | 1760041248 |
|---|---|
| Former Name | BRIANNA L DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4382) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2019019148) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2024-10-07 |