NPI | 1215459995 |
---|---|
Former Name | CHLOE CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE61089993) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901022374) |
1223G0001X Dentist, General Practice (Licence: WA 2901022374) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2021-03-09 |