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 |