NPI | 1649470584 |
---|---|
Former Name | KATHERINE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 5597) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2024-04-10 |