| NPI | 1326863952 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL OKC |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE PEDIATRIC DENTAL OKC DASCH Director Of Cred And Prov Rel 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |