| NPI | 1003262403 |
|---|---|
| Former Name | MACAIRE CLAIRE THIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 1001353-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30025263) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30025263) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-12-14 |