NPI | 1366850927 |
---|---|
Former Name | ASHLYNN WHETSTONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 09113) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-029948) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2015-11-17 |