NPI | 1346768538 |
---|---|
Former Name | PAIGE L EPPS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN123055) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 10834) |
Enumeration Date | 2017-09-07 |
Last Update Date | 2023-11-14 |