NPI | 1992066104 |
---|---|
Former Name | DYANI KALEA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 60103) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60103) |
Enumeration Date | 2012-06-04 |
Last Update Date | 2024-04-27 |