NPI | 1225402795 |
---|---|
Doing Business As | BITE SIZE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | DENISE D MANIAKOURAS Dentist 708-789-9289 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002534) |
Enumeration Date | 2015-11-21 |
Last Update Date | 2015-11-21 |