| 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 |