| 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 |