NPI | 1891155149 |
---|---|
Former Name | SARAH MARIE FORBES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 31702) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64549) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2016-03-07 |