NPI | 1972819506 |
---|---|
Former Name | BRITTANY P SEMONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 8962) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 04425000127) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2018-07-02 |