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 |