NPI | 1134733876 |
---|---|
Doing Business As | TOOTH SQUAD PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRADLEY RAY CROSSFIELD Owner, Manager 501-951-0031 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-09-01 |