NPI | 1033961982 |
---|---|
Doing Business As | MY PEDIATRIC DENTIST |
Entity Type | Organization |
Authorized Contact | RYAN HAJEK Owner 605-354-7077 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-04-03 |