| NPI | 1427438241 |
|---|---|
| Other Name | CARLY KINZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02594000) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |