| NPI | 1831535640 |
|---|---|
| Former Name | JENNIFER FAYE BIRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 15459) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414107) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2015-08-27 |