| NPI | 1861684003 |
|---|---|
| Former Name | ANASTASIA LIANNE DODSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 6054) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE00011095) |
| 122300000X Dentist (Licence: CO 9564) | |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2014-08-27 |