Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 0401415967 | VA |
NPI | 1033585591 |
---|---|
Provider Name | Dr. Catherine Doswell Born |
First Address | Richmond, VA 23226-2706 |
Second Address | Henrico, VA 23229-6751 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2015 |
Last Update Date | 14/02/2022 |