| NPI | 1699392811 |
|---|---|
| Former Name | KELSEY O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205079) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AZ D010741) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-07-18 |