NPI | 1861036550 |
---|---|
Other Name | TAYLOR MARIE GEYER HOLTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IA DDS-09430) |
Enumeration Date | 2019-11-05 |
Last Update Date | 2020-01-22 |