NPI | 1063962942 |
---|---|
Doing Business As | DR.CC'S TOOTH FACTORY |
Entity Type | Organization |
Authorized Contact | CHRISTIAN C CABELLO Pediatric Dentist/Owner 956-625-5311 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2016-10-04 |
Last Update Date | 2017-03-29 |