NPI | 1205178308 |
---|---|
Former Name | KENDRA LYNETTE HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: GA DN015775) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.023904) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2021-10-04 |