NPI | 1851383848 |
---|---|
Professional Name | SAMANTHA CALLAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AZ 9185) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: GA DN11078) |
1223G0001X Dentist, General Practice (Licence: NC 06016) | |
Enumeration Date | 2005-08-17 |
Last Update Date | 2015-04-24 |