NPI | 1205022944 |
---|---|
Former Name | RHONDA BEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.024588) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.024588) |
Enumeration Date | 2007-09-17 |
Last Update Date | 2022-08-18 |