NPI | 1538458112 |
---|---|
Former Name | LAURA HELEN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 6690-15) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6690-015) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2023-02-15 |