NPI | 1013029743 |
---|---|
Former Name | ANGELA ELAINE ESTEPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO 9955) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 7622) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-12-23 |