| NPI | 1225121742 |
|---|---|
| Former Name | TENNILLE LYNN CHEEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 5599) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 7911) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-01-04 |