NPI | 1871597146 |
---|---|
Former Name | ARLYNN GENISE HAINLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 14117) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 40489) |
Enumeration Date | 2005-06-02 |
Last Update Date | 2007-07-08 |