| NPI | 1023376597 |
|---|---|
| Former Name | BETH ANN HOGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 6856-15) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: ND 2206) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-03-13 |