NPI | 1346022068 |
---|---|
Doing Business As | CDSA |
Entity Type | Organization |
Authorized Contact | NICHOLAS WADE BARNARD Pediatric Dentist 515-776-1136 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-10-17 |
Last Update Date | 2023-10-17 |