| NPI | 1376236265 |
|---|---|
| Former Name | SAMANTHA WHEELHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D11792) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OR D11792) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-07-18 |