| NPI | 1740276369 |
|---|---|
| Former Name | NANCY LEE SEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 2813) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN 9690) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |