| NPI | 1558982934 |
|---|---|
| Other Name | ALAINA DANIELLE EDELMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 062064) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 062064) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-01-04 |