NPI | 1073987038 |
---|---|
Doing Business As | CREATIVE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELIZABETH PHAM O'DELL Owner 334-538-1390 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WV 4042) |
Enumeration Date | 2015-11-13 |
Last Update Date | 2015-11-13 |