| NPI | 1336475987 |
|---|---|
| Former Name | ASHLEY KRYSTLE LAGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60444) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038040) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2011-07-06 |