| NPI | 1508479460 |
|---|---|
| Former Name | NOELLE HOUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D010745) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 12460588-9921) |
| 1223G0001X Dentist, General Practice (Licence: ID D5191) | |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-05-07 |