| NPI | 1043280183 |
|---|---|
| Former Name | STEPHANIE NMI CALHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 011651) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA 011651) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-03-08 |