NPI | 1871728279 |
---|---|
Former Name | DANA LIBBY KAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS64368) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 01903436622) |
1223P0221X Dentist, Pediatric Dentistry (Licence: NY 054476) | |
Enumeration Date | 2009-05-28 |
Last Update Date | 2023-06-21 |