| NPI | 1376994731 |
|---|---|
| Doing Business As | BOWLING GREEN PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SARAH ALSTON VP 724-698-2946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.022469) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-11-10 |