| NPI | 1114269941 |
|---|---|
| Former Name | CHRISTINE CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901022142) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.023923) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2020-01-14 |