| NPI | 1164133450 |
|---|---|
| Doing Business As | SUPERKIDS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIELA ALDERETES Financial Director 571-919-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |