| NPI | 1821652710 |
|---|---|
| Former Name | HALEY LEA REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: MN ADT109) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H10214) |
| 125J00000X Dental Therapist (Licence: MN DT109) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-09-29 |