| NPI | 1578703955 |
|---|---|
| Former Name | MEGAN RUTH BERNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 10291) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 60575) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2011-04-06 |