| NPI | 1467837278 |
|---|---|
| Former Name | CHELSEA ANN YANDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 21546) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-024583) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2023-03-09 |