NPI | 1235213703 |
---|---|
Former Name | KARA M SCHAFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 30.022459) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.022459) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2022-03-30 |