| NPI | 1447699335 |
|---|---|
| Former Name | BETH RENEE MORREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN D14665) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2013016374) |
| 122300000X Dentist (Licence: CO 204120) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: MO 2013016374) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: MN D14665) | |
| 1223X2210X Dentist, Orofacial Pain (Licence: CO 204120) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-10-27 |