NPI | 1013992551 |
---|---|
Other Name | ANGELA KLINGENSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 21041) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901788) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2022-10-09 |