NPI | 1023829777 |
---|---|
Doing Business As | BRADBERRY PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ROBERT KELLEN MCWHORTER Dentist 770-977-8644 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |