NPI | 1952462897 |
---|---|
Professional Name | GLADYS JOHNSON WHITTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 11953) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2014-10-01 |