| NPI | 1689971475 |
|---|---|
| Former Name | KERI ANN HORNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SD D0965) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SD Temp306) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MN D12911) | |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2012-01-24 |