| NPI | 1447562012 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW HENRY Owner 907-854-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WY 1245) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |