Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | 5519 | ME |
NPI | 1316285067 |
---|---|
Provider Name | Beatrice R Tokayer |
First Address | Biddeford, ME 04005-3155 |
Second Address | Biddeford, ME 04005-3155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2013 |
Last Update Date | 30/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
46-1831135 | TAXONOMY (01) | ME |