| NPI | 1992803084 |
|---|---|
| Former Name | LLOYD ELLIOTT KEMPKA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 2741-015) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027709) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-04-20 |