NPI | 1154401057 |
---|---|
Doing Business As | PEDIATRIC DENTAL ASSOCIATES AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CHINA WALDROP Hr Coordinator 479-582-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-10-16 |
Last Update Date | 2021-05-19 |