| NPI | 1205378650 |
|---|---|
| Doing Business As | KIDS@HEART PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ASHLA LARENDA MARTIN Owner 318-268-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25216) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |