NPI | 1356725212 |
---|---|
Former Name | SARA HINDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00205067) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901601011) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2023-02-06 |