NPI | 1780204362 |
---|---|
Former Name | PERRIE LYN EPSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO DEN.00205097) |
Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children |
Enumeration Date | 2020-04-23 |
Last Update Date | 2023-01-24 |