NPI | 1881827046 |
---|---|
Former Name | JENNY JAY SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8784) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: NC 8784) |
Enumeration Date | 2009-09-03 |
Last Update Date | 2010-03-04 |