| NPI | 1427247402 |
|---|---|
| Former Name | KATHERINE LYNN FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: GA 13702) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: AL 5473) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2022-08-16 |