Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | NC |
NPI | 1003485343 |
---|---|
Provider Name | Kristine M Britten |
First Address | Cedar Point, NC 28584-8244 |
Second Address | Cedar Point, NC 28584-8244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1363888263 | DOD (01) |