| NPI | 1881315745 |
|---|---|
| Former Name | SAMANTHA J WHITING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901601525) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MI 2901601525) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2024-01-08 |