| NPI | 1366198921 |
|---|---|
| Doing Business As | SPROUT DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN N CHAN Pediatric Dentist/Partner 469-301-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-06-07 |