Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 16403 | TX |
NPI | 1003939562 |
---|---|
Provider Name | Dr. Denise Ellen Turunen |
First Address | Irving, TX 75038-6514 |
Second Address | Irving, TX 75038-6514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 20/07/2007 |