NPI | 1255487443 |
---|---|
Former Name | KARYN TINDAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010801) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D8864) |
Enumeration Date | 2007-01-28 |
Last Update Date | 2014-11-22 |