| NPI | 1912916586 |
|---|---|
| Former Name | GINGER GARAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00009715) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00009715) |
| 1223G0001X Dentist, General Practice (Licence: OK 6370) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-05-02 |