NPI | 1003608928 |
---|---|
Doing Business As | VILLAGE KIDS |
Entity Type | Organization |
Authorized Contact | CHRISTINA C PATE Director Of Acquisitions 910-484-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-10-10 |