NPI | 1770999138 |
---|---|
Former Name | EMILY TSCHETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NE 7151) |
Additional Taxonomies | 122300000X Dentist (Licence: NE 7151) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2022-07-28 |