| NPI | 1407030323 |
|---|---|
| Doing Business As | GAINESVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TINA PERRY Office Manager 703-754-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410642) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410803) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |