NPI | 1114017381 |
---|---|
Former Name | JENNIFER SCHOOLS HUFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401008603) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 8603) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0401008603) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2019-07-03 |