NPI | 1609284991 |
---|---|
Former Name | KRISTI ANN PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29701) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 29701) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2019-01-21 |