NPI | 1235757378 |
---|---|
Former Name | SARAH HOULE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: CO DEN.00205907) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2023014636) |
122300000X Dentist (Licence: FL 25569) | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2024-07-19 |