NPI | 1760735005 |
---|---|
Former Name | MELISSA RENAE STERLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN19983) |
Additional Taxonomies | 122300000X Dentist (Licence: WI 1001429-15) |
122300000X Dentist (Licence: NC 10258) | |
Enumeration Date | 2012-10-24 |
Last Update Date | 2022-07-21 |