| NPI | 1912312554 |
|---|---|
| Former Name | MICHELLE WEBB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN22422) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1856589) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2020-11-25 |