NPI | 1316565823 |
---|---|
Doing Business As | EAGAN CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | JUDY K PEDRO-LIM Owner/Dentist 651-452-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-07-10 |
Last Update Date | 2020-07-10 |