| 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 |