NPI | 1235913666 |
---|---|
Doing Business As | HAPPY CAMPER PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER GOODELL Practice Owner 518-565-0828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |