NPI | 1215362603 |
---|---|
Former Name | KITT PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002679) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2019-01-13 |