| NPI | 1225402373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MCKELLAR Member/ Pediatric Dentist 386-212-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN014531) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |