| NPI | 1356956882 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL PROFESSIONALS |
| Doing Business As | APEX DENTAL PARTNERS |
| Entity Type | Organization |
| Authorized Contact | AMANDA LIGHTFOOT Authorized Representative 214-702-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-11-09 |