| NPI | 1508133901 |
|---|---|
| Former Name | KATIE ELIZABETH MIETTUNEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WI 6790015) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D13027) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2021-11-26 |