NPI | 1265976260 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KENDRA SMITH Practice Administrator 203-787-3669 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 11032) |
Enumeration Date | 2016-12-09 |
Last Update Date | 2016-12-23 |