| NPI | 1700012655 |
|---|---|
| Former Name | AMY THATCHER STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 055640) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 390200000x) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2011-08-02 |