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 |