NPI | 1154501633 |
---|---|
Other Name | MARY ELIZABETH CLIETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30022609) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30022609) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2023-03-07 |