NPI | 1801934054 |
---|---|
Other Name | LISA LOOMIS KERNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 18859) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-08 |