NPI | 1083845929 |
---|---|
Former Name | ASHLEY ELIZABETH MCCOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00202397) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN18652) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 0024692) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2019-10-30 |