NPI | 1780819599 |
---|---|
Former Name | MEGAN DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 1001011) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019027924) |
122300000X Dentist (Licence: FL FD1476488) | |
Enumeration Date | 2009-05-22 |
Last Update Date | 2014-11-21 |