NPI | 1316316938 |
---|---|
Former Name | CAITLYN KENDRA BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 64861) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 64861) |
1223P0300X Dentist, Periodontics (Licence: WA DE60517675) | |
Enumeration Date | 2015-09-24 |
Last Update Date | 2022-07-21 |