| NPI | 1396930186 |
|---|---|
| Former Name | ASHLEE LAUREN BERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD2941) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 7389) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2015-02-11 |