| NPI | 1780833954 |
|---|---|
| Former Name | CECILIA M. BROWNBLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN18288) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2023-09-18 |