NPI | 1013567080 |
---|---|
Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KATRINA J DREW President 541-686-2446 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |