| NPI | 1669042669 |
|---|---|
| Other Name | KELSEY SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0442000437) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401418331) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-04-13 |