Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 5408 | NC |
NPI | 1003083585 |
---|---|
Provider Name | Dr. Toni Kay Mascherin |
First Address | Cary, NC 27511-5567 |
Second Address | Cary, NC 27511-5567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 13/05/2008 |