| NPI | 1962417733 |
|---|---|
| Former Name | SHAMAYNE MARIA DOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 08224) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6431) |
| 1223G0001X Dentist, General Practice (Licence: SD M999) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2011-01-28 |