NPI | 1952512063 |
---|---|
Former Name | KATHERINE JOAN WELSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WV 4043) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022392) |
122300000X Dentist (Licence: OH 30.022392) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2014-07-28 |