| NPI | 1144655465 |
|---|---|
| Former Name | CAITLIN MARIE DIGIOVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MT DEN-DEN-LIC-13953) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D9952) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-08-29 |