| NPI | 1184651333 |
|---|---|
| Former Name | PAMELA JEAN CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 014545) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 014545) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-02-27 |