| NPI | 1619073814 |
|---|---|
| Former Name | CANDACE H KANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AZ 9209) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR 3792) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 73) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-01-31 |