NPI | 1013623982 |
---|---|
Doing Business As | WEST COAST PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRIANNE N FERGUSON President 231-780-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-03-26 |