NPI | 1063018687 |
---|---|
Doing Business As | AMERICAN PEDIATRIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LOURDES KONTOS Insurance Director 954-417-1337 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-12-09 |
Last Update Date | 2020-12-09 |