| NPI | 1518214881 |
|---|---|
| Former Name | PAMELA KIMBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MT 11648) |
| Additional Taxonomies | 122300000X Dentist (Licence: UT 4934289-9921) |
| 122300000X Dentist (Licence: MT 11648) | |
| 1223G0001X Dentist General Practice (Licence: UT 4934289-9921) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2024-02-20 |