NPI | 1447893870 |
---|---|
Doing Business As | TOOTH AND TUSK PEDIATRIC DENTISTRY AND ORTHODONTICS |
Doing Business As | PAVENTY AND BROWN ORTHODONTICS, LLD |
Entity Type | Organization |
Authorized Contact | J KOBLY ROBINSON DMD Owner/Dentist 541-779-8923 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-10-17 |
Last Update Date | 2021-09-07 |