| NPI | 1780113845 |
|---|---|
| Former Name | REBEKAH KAITTIN EVERIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 9960) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9960) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2025-10-09 |