NPI | 1376943936 |
---|---|
Former Name | MEGAN M APPLEGATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9502) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN20797) |
1223G0001X Dentist, General Practice (Licence: KY 9502) | |
Enumeration Date | 2014-09-01 |
Last Update Date | 2024-02-02 |