| NPI | 1518699263 |
|---|---|
| Former Name | AMY NICOLE SCHLEHOFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OR D11898) |
| Additional Taxonomies | 122300000X Dentist (Licence: OR D11898) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2025-08-20 |