| NPI | 1427428085 | 
|---|---|
| Doing Business As | CHILDREN'S DENTAL CENTER, PC OF ROME | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER A CLINE Credentialing Specialist 706-232-1283  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2015-09-25 | 
| Last Update Date | 2023-10-09 |