NPI | 1467565432 |
---|---|
Former Name | KIMBERLY TAMBINI TRUNDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3454) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2017-11-27 |