Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | A49484 | CA |
NPI | 1053537993 |
---|---|
Provider Name | Dr. Margaret Mary Delmore |
First Address | Sacramento, CA 95825 |
Second Address | Sacramento, CA 95825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |