| NPI | 1174947964 |
|---|---|
| Former Name | CANDICE CORTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30067) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 000000000) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2018-04-23 |