| NPI | 1538608013 |
|---|---|
| Former Name | TIFFANY DENISE CHOAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: GA DH012401) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 20420) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |