NPI | 1205114337 |
---|---|
Former Name | KENDRA NICOLE CHAPMAN-SMALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN015735) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 10668) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2019-04-12 |