NPI | 1063786705 |
---|---|
Doing Business As | ARLINGTON PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNIFER PETTIT KETCHEL Pediatric Dentist 817-465-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 20274) |
Enumeration Date | 2012-02-27 |
Last Update Date | 2013-06-18 |