NPI | 1275647976 |
---|---|
Doing Business As | VILLAGE KIDS |
Entity Type | Organization |
Authorized Contact | CHRISTINA C PATE Revenue Cycle Director 910-485-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-08-18 |
Last Update Date | 2025-08-12 |