NPI | 1285443705 |
---|---|
Doing Business As | TLC PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DANIEL CRANDALL JOHNSON Owner/Pediatric Dentist 512-593-7998 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-12-31 |
Last Update Date | 2024-12-31 |