| NPI | 1194928622 |
|---|---|
| Other Name | MARY JAY BEAM KIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8496) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011042) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-11-17 |