| NPI | 1114359866 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES H PERKINS Principal 662-513-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3306-04) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |