| NPI | 1154401057 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL ASSOCIATES AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ROCIO RODRIGUEZ Human Resources Coordinator 479-582-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-06-12 |