NPI | 1629570874 |
---|---|
Former Name | KATHERINE ELIZABETH SCHWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DDS102182) |
Additional Taxonomies | 122300000X Dentist (Licence: CA DDS102182) |
Enumeration Date | 2018-03-04 |
Last Update Date | 2024-10-29 |