NPI | 1497196323 |
---|---|
Former Name | KATHERINE MARIE HOLLENKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KY 9385) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30-024013) |
122300000X Dentist (Licence: KY 9385) | |
Enumeration Date | 2013-07-08 |
Last Update Date | 2024-11-22 |