NPI | 1043842214 |
---|---|
Doing Business As | FUN PARK PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | OLANREWAJU OYE-SOMEFUN Pediatric Dentist 757-767-7275 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-02-06 |
Last Update Date | 2020-09-16 |