| NPI | 1104530658 |
|---|---|
| Doing Business As | TOOTHTOWN DENTISTRY FOR KIDS MINT HILL |
| Entity Type | Organization |
| Authorized Contact | KAROL MANCHOLA Regional Manager 973-610-5812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |