| NPI | 1336466283 |
|---|---|
| Former Name | KRISTIN ERIN DUMBOSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3807) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2022-08-06 |