| NPI | 1316506280 |
|---|---|
| Former Name | SAMANTHA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2019020712) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KS 61612) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2022-03-23 |