| NPI | 1003280124 |
|---|---|
| Other Name | KIMBERLY CHRISTIE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS039262) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2022-08-30 |