Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN15763 | FL |
NPI | 1013038884 |
---|---|
Provider Name | Dr. Lauren Wilkinson Shefrin |
First Address | Cumming, GA 30041 |
Second Address | Cumming, GA 30131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 05/08/2008 |