NPI | 1669994042 |
---|---|
Former Name | ANNIKKA LOUISE FROSTAD-THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 61037699) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS103469) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-06-04 |