NPI | 1831285675 |
---|---|
Former Name | COURTNEY ANN FRANCIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D6690) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901018283) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |