NPI | 1861632234 |
---|---|
Former Name | MARILUCI A BYRNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 56929) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 56929) |
Enumeration Date | 2009-02-25 |
Last Update Date | 2024-04-25 |