Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 21281 | OH |
NPI | 1003995721 |
---|---|
Provider Name | Ms. Alma F Mccarren |
First Address | Georgetown, OH 45121-1026 |
Second Address | Georgetown, OH 45121-1026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2531095 | (05) | OH |