Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant | 2903002496 | MI |
NPI | 1043484207 |
---|---|
Provider Name | Mrs. April Dawn North |
First Address | Midland, MI 48640-8217 |
Second Address | Saginaw, MI 48602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 18/04/2008 |