| NPI | 1134900582 |
|---|---|
| Other Name | PARK PEDIATRIC DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | HANNAH B NOTO Doctor 337-344-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |