| NPI | 1912134750 |
|---|---|
| Former Name | MIRANDA LEIGH DUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3862) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14503) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2015-09-16 |