| NPI | 1336500537 |
|---|---|
| Former Name | DANIELLE KRISTEN LEEPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MO 2018014415) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KS 62202) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2023-10-25 |