Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1205468139 |
---|---|
Provider Name | Brittany Lauren Baird |
First Address | Carson City, NV 89706-1932 |
Second Address | Carson City, NV 89706-7976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2020 |
Last Update Date | 08/02/2020 |