NPI | 1851962542 |
---|---|
Former Name | SARAH TRIBBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204950) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 37371) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2023-08-10 |