NPI | 1336710011 |
---|---|
Doing Business As | CHILDREN'S DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | CHAN MIN PARK Owner 956-682-1284 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2021-07-05 |
Last Update Date | 2021-07-05 |