| NPI | 1508276866 |
|---|---|
| Former Name | CASEY LEE FILBERT |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: KS 61106) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MO 2016029515) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2016-09-21 |