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 |