| NPI | 1588407860 |
|---|---|
| Former Name | DAVIS MICHELLE ATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4755) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2024020431) |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-18 |