NPI | 1295302107 |
---|---|
Doing Business As | ALIANA PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | PHYLICIA R COMBEST Co Owner/ Pediatric Dentist 228-249-2184 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-06-09 |
Last Update Date | 2021-12-17 |