NPI | 1093581720 |
---|---|
Doing Business As | WINDMILL PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SISI BAO Owner Dentist 702-708-1299 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-12-04 |
Last Update Date | 2023-12-04 |