| NPI | 1194138362 |
|---|---|
| Former Name | MISTY D HAUNGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2014016657) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2014016657) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-06-05 |