Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN1856828 | MA |
N | 1223D0001X | Dental Public Health | DN1856828 | MA |
N | 1223G0001X | General Practice | 27751 | TX |
N | 213EG0000X | General Practice | 27751 | TX |
NPI | 1194090241 |
---|---|
Provider Name | Dr. Alexandra Lynn Armstrong |
First Address | West Yarmouth, MA 02673-3444 |
Second Address | West Yarmouth, MA 02673-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2012 |
Last Update Date | 06/02/2017 |