NPI | 1427801091 |
---|---|
Doing Business As | PEDIATRIC DENTISTRY OF FORSYTH |
Entity Type | Organization |
Authorized Contact | NICK KIM Owner 334-549-2714 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-04-11 |
Last Update Date | 2024-04-11 |