| NPI | 1205984655 |
|---|---|
| Former Name | SUSAN AHLENE GUENTZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE 00010334) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-05-04 |