NPI | 1740577352 |
---|---|
Former Name | JENNIFER L SENGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: FL DN19962) |
Additional Taxonomies | 122300000X Dentist (Licence: PA DS038741) |
Enumeration Date | 2011-07-03 |
Last Update Date | 2020-01-02 |