NPI | 1790831501 |
---|---|
Former Name | BARBARA ANN HURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM DD2604) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM 2604) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2023-04-14 |