NPI | 1275966020 |
---|---|
Former Name | BRITTANY KARI SPANJER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: CO 203032) |
Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-09030) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2023-06-27 |