| NPI | 1699733931 |
|---|---|
| Former Name | MICHELLE D. USON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 39173) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: GA DN015525) |
| 1223G0001X Dentist, General Practice (Licence: SC 4197) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-12-01 |