| NPI | 1841605722 |
|---|---|
| Former Name | WHITNEY ANN BAILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414957) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 150980) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2019-03-22 |