| NPI | 1023345691 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL HOME |
| Entity Type | Organization |
| Authorized Contact | CARL EUGENE PITTMAN President 936-321-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 18043) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2009-11-03 |