| NPI | 1215428941 |
|---|---|
| Former Name | AMBER LYNNE CANTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 7035) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 7035) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2025-10-07 |