| NPI | 1174349047 |
|---|---|
| Doing Business As | CAHABA VALLEY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CASSIE WIETH Payor Relations Manager 623-267-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |