NPI | 1023037744 |
---|---|
Former Name | SHERRY DIANE SLONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: KY 7177) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 7177) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2022-07-21 |