| NPI | 1861641011 |
|---|---|
| Former Name | LINDSEY KRECKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00202747) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027778) |
| 122300000X Dentist (Licence: NY 0547631) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2016-05-10 |