| NPI | 1205199981 |
|---|---|
| Former Name | REBECCA WEBSTER PARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KS 61298) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9430) |
| 122300000X Dentist (Licence: KS 61298) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-10-07 |