NPI | 1982864385 |
---|---|
Other Name | JULIE ELLEN LAUENGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1855090) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1855090) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2013-04-01 |