| NPI | 1861825150 |
|---|---|
| Former Name | CHRISTINA CUSHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PR 3452) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2023-03-01 |