| NPI | 1407438856 |
|---|---|
| Former Name | SYDNEY NICOLE CULLOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 10588) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4532) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-06-28 |