| NPI | 1326278797 |
|---|---|
| Former Name | CALLEE ELIZABETH COSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MS 3621-11) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CO DEN.00202198) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2014-06-27 |