NPI | 1225358617 |
---|---|
Former Name | MONICA KING NESBITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 8253) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 19955) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2010-06-08 |