| NPI | 1225446362 |
|---|---|
| Former Name | BRITTANY DESIREE' SLOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 10258) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10258) |
| 122300000X Dentist (Licence: RI LD00104) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-09-18 |