Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1164666459 |
---|---|
Provider Name | Sharon Jean Christ |
First Address | Kettering, OH 45429-4945 |
Second Address | Kettering, OH 45429-4945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 30/04/2009 |