| NPI | 1487025268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE A ROALOFS Pediatric Dentist 9007-232-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AK 1003) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |