| NPI | 1740476472 |
|---|---|
| Former Name | EMILY REBECCA TOLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30-022492) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: OH 30022492) |
| 1223P0700X Dentist, Prosthodontics (Licence: OH 30-022492) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2011-12-02 |