NPI | 1386158541 |
---|---|
Former Name | KATHERINE DEAN PLUNKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 8251) |
Enumeration Date | 2017-11-27 |
Last Update Date | 2018-03-17 |