NPI | 1689704181 |
---|---|
Former Name | CATHERINE ELIZABETH EASTLAND-VIEREGGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8122) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2009-04-17 |