NPI | 1194429373 |
---|---|
Doing Business As | TINY TEETH OF THE BAY PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | FELESHIA LATEISH APPS CEO/Owner 510-977-9710 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-03-30 |