NPI | 1053312595 |
---|---|
Former Name | DANIELLE PAIGE STIEGEMEIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 12600945-9921) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IA 08295) |
1223E0200X Dentist, Endodontics (Licence: OH 30-022494) | |
1223E0200X Dentist, Endodontics (Licence: OR D10911) | |
1223G0001X Dentist, General Practice (Licence: IA 08295) | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2022-04-14 |