NPI | 1932354453 |
---|---|
Former Name | ASHLEY KAYE YAEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: KY 8656) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 8656) |
Enumeration Date | 2008-11-25 |
Last Update Date | 2022-03-02 |