| NPI | 1942511381 |
|---|---|
| Former Name | ANGELA CHRISTINE HALVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL 6006) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2020-02-11 |