| NPI | 1750412664 |
|---|---|
| Former Name | TERI DANETTE REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OK 5918) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 1612) |
| 1223G0001X Dentist, General Practice (Licence: TX 16386) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-04-27 |