| NPI | 1770072167 |
|---|---|
| Former Name | STEFANIE FAYE VOLTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: MN DT102) |
| Additional Taxonomies | 125J00000X Dental Therapist (Licence: MN DT102) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2024-04-24 |