NPI | 1295145662 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE MIN Partner 712-574-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61151) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56036) |
Enumeration Date | 2014-05-06 |
Last Update Date | 2014-05-06 |