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 |