| NPI | 1669816419 |
|---|---|
| Former Name | MEAGAN NICOLE CHAFFINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN014905) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2016-03-14 |