NPI | 1134516693 |
---|---|
Former Name | CATHARINE ELIZABETH MOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN015136) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2019-11-08 |