| NPI | 1124142005 |
|---|---|
| Former Name | CATHY DAWN STEPHENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6592) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN 10089) |
| 1223G0001X Dentist, General Practice (Licence: IA 7232) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2007-07-08 |