NPI | 1073982997 |
---|---|
Doing Business As | DENTAL ASSOCIATES FOR KIDS ONLY |
Entity Type | Organization |
Authorized Contact | CANDACE H VENEBERG Director 501-850-5110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ D009209) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-10-18 |