Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DEN3663 | DC |
NPI | 1003055930 |
---|---|
Provider Name | Dr. Cecile Elaine Skinner |
First Address | Washington, DC 20059-0001 |
Second Address | Washington, DC 20059-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2009 |
Last Update Date | 17/02/2009 |