| NPI | 1619097268 |
|---|---|
| Former Name | LEE ANN PETROPULOS WHELAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: VT 0160002071) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: MA DN18815) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-07-24 |