| NPI | 1992958656 |
|---|---|
| Former Name | MEGAN ANNE O'MALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8626) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4544) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2013-01-30 |