| NPI | 1881253581 |
|---|---|
| Former Name | DONNA LYNN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 11454) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-10-03 |