NPI | 1912297441 |
---|---|
Professional Name | JANE K CHADWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NC 9464) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
122300000X Dentist (Licence: WA DR 60230156) | |
Enumeration Date | 2011-04-18 |
Last Update Date | 2017-03-29 |