NPI | 1396930855 |
---|---|
Former Name | HADLEY A CREECH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02349400) |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MA 20564) |
Enumeration Date | 2007-09-07 |
Last Update Date | 2009-07-08 |