NPI | 1316719438 |
---|---|
Doing Business As | DENTISTRY FOR KIDS |
Entity Type | Organization |
Authorized Contact | GINNA HENDRICKS General Manager 505-603-6220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-10-23 |
Last Update Date | 2023-10-23 |