NPI | 1164986220 |
---|---|
Doing Business As | LOLLIPOP PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAUL PHAM Manager 334-657-7668 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |