NPI | 1144531179 |
---|---|
Former Name | SARA ANN ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60270996) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60270996) |
Enumeration Date | 2010-06-24 |
Last Update Date | 2022-04-01 |