| NPI | 1336889435 |
|---|---|
| Doing Business As | SPROUT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JEE-EUN KIM Owner 678-408-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |