| NPI | 1750407490 |
|---|---|
| Former Name | CHRISTY MICHELLE COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: GA DN013102) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: GA 013102) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-02-15 |