NPI | 1225252844 |
---|---|
Former Name | ERIN CASWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE60233834) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 22412) |
1223G0001X Dentist, General Practice (Licence: VA 0401411920) | |
Enumeration Date | 2007-04-13 |
Last Update Date | 2011-12-20 |