| NPI | 1295932655 |
|---|---|
| Former Name | MISTY ELAINE BRIGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5943) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 5943) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2018-06-15 |