NPI | 1194125708 |
---|---|
Former Name | KRISTIN DEE HELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN122600) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 9968) |
1223G0001X Dentist, General Practice (Licence: TX 30410) | |
1223G0001X Dentist, General Practice (Licence: KY 10482) | |
Enumeration Date | 2014-09-02 |
Last Update Date | 2023-04-13 |