NPI | 1972964195 |
---|---|
Former Name | BRITTANY AMBER HOWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: AR 4409) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 4409) |
Enumeration Date | 2016-03-15 |
Last Update Date | 2021-02-23 |