| NPI | 1063584936 |
|---|---|
| Former Name | KORIE LYNN DUNHOFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KY 859) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 8585) |
| 1223G0001X Dentist General Practice (Licence: DE G1-1219) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-03-04 |