NPI | 1871732974 |
---|---|
Former Name | REBECCA LOEWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 57782) |
Additional Taxonomies | 122300000X Dentist (Licence: CO 9844) |
Enumeration Date | 2009-02-12 |
Last Update Date | 2024-10-22 |