NPI | 1487143004 |
---|---|
Former Name | LEIGH YARBOROUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC DGD.10020) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30.025678) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2022-03-01 |