NPI | 1952903379 |
---|---|
Former Name | ALEXIS ROSE LINTKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 336964) |
Enumeration Date | 2020-11-10 |
Last Update Date | 2025-05-20 |