NPI | 1275347874 |
---|---|
Doing Business As | PARKS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRETT PARKS Owner 619-500-3592 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |