NPI | 1699741371 |
---|---|
Professional Name | MICHELLE ANGELA LUDWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AZ D010999) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D7345) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2022-06-16 |