| NPI | 1780606590 |
|---|---|
| Other Name | VICKY RYAN HASKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 044417) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA DY31693) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |