NPI | 1447019740 |
---|---|
Other Name | KATIE LYNN OFRIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: LA 7328) |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-03-18 |