| NPI | 1083144265 |
|---|---|
| Former Name | KELLY BEGLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.025993) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9976) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-07-02 |