| NPI | 1184088551 |
|---|---|
| Former Name | SALLY KATHERINE SLADEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00205785) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-07-16 |