| NPI | 1346007382 |
|---|---|
| Doing Business As | EDMOND PEDIATRIC & TEEN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE V DASCH Director Of Cred And Pr 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |