NPI | 1881766558 |
---|---|
Former Name | BRITTANY ANNE SODEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022440) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412288) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2012-01-04 |