| NPI | 1932414265 |
|---|---|
| Former Name | DAWNYETTA R MARABLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: GA DN014150) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN014150) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2024-08-13 |