NPI | 1396122834 |
---|---|
Doing Business As | POOLER PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | CARLA GUZMAN STAPPENBECK Pediatric Dentist 912-376-9296 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-10-21 |