NPI | 1427448877 |
---|---|
Doing Business As | KIDDSMILES PEDIATRIC DENTISTRY 4 PLLC |
Entity Type | Organization |
Authorized Contact | DANA HUTTER Insurance Coordinator 631-576-4254 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |