NPI | 1750362414 |
---|---|
Former Name | KATHERINE MARY PENNINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA DN1855626) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2021-09-24 |