NPI | 1588160113 |
---|---|
Former Name | SARA DEAN SCHUTTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00203490) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2022-05-12 |