NPI | 1033765094 |
---|---|
Doing Business As | NORTHEAST CHILDREN'S DENTISTRY-DOMINION CROSSING LOCATION |
Entity Type | Organization |
Authorized Contact | TRACEY HAY Practice Coordinator 210-654-6882 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-08-15 |
Last Update Date | 2023-11-27 |