| NPI | 1487759361 |
|---|---|
| Former Legal Business Name | BRYAUT THE KID'S DENTIST PA |
| Entity Type | Organization |
| Authorized Contact | NNEKA DAVIS Owner/Pediatric Dentist 443-622-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-03-04 |