| NPI | 1851659163 |
|---|---|
| Former Name | MARLINA M JUDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-023693) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.023693) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-12-14 |