| NPI | 1992160766 |
|---|---|
| Former Name | LEAH PERRY DITSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: KY 1043) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2019-01-18 |