| NPI | 1265225221 | 
|---|---|
| Doing Business As | SKY PEDIATRIC DENTISTRY - GOODLETTSVILLE | 
| Entity Type | Organization | 
| Authorized Contact | PAOLA RAMOS Sr Credentialing Team Lead 972-869-3789  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2025-05-23 | 
| Last Update Date | 2025-05-23 |