NPI | 1023342235 |
---|---|
Former Name | AMBER JEAN ZEDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MN D12698) |
Additional Taxonomies | 122300000X Dentist (Licence: MN D12698) |
Enumeration Date | 2009-09-22 |
Last Update Date | 2020-06-09 |