| NPI | 1407036999 |
|---|---|
| Other Name | MATTHEW THOMAS CARPENTER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 4409) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 4409) |
| 1223G0001X Dentist, General Practice (Licence: SC 4409) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2013-06-21 |