NPI | 1962448282 |
---|---|
Former Name | MICHELE MARIE JOINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8716) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2007-07-08 |