| NPI | 1386014876 |
|---|---|
| Doing Business As | CALDWELL PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SONYA MYRICK Director Of Credentialing & Payor R 980-390-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2026-02-17 |