NPI | 1164687612 |
---|---|
Doing Business As | MY KIDS' DENTISTS |
Entity Type | Organization |
Authorized Contact | MICHAEL MORCEAU CFO, VP 770-926-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN012309) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN008821) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN009268) | |
Enumeration Date | 2008-07-24 |
Last Update Date | 2012-07-01 |