| NPI | 1174085971 |
|---|---|
| Doing Business As | EXPLORER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JULIE M RUDGERS CROFT Pediatric Dentist/Owner 234-602-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |