| NPI | 1770613754 |
|---|---|
| Former Name | CLEOKA ALESHA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8916) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3593) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013295) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-12-13 |