NPI | 1083273874 |
---|---|
Former Name | TIMARI CAITLIN YOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 13127) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AL D.0006842-C1) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2023-09-14 |