NPI | 1265889570 |
---|---|
Doing Business As | TOOTHBEARY PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | DARCHELLE BRAXTON Pediatric Dentist 804-709-8166 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414243) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2016-05-17 |