| NPI | 1841720406 |
|---|---|
| Former Name | KIMBERLY BARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7362) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 7362) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-04-30 |