| NPI | 1497589071 |
|---|---|
| Doing Business As | CENTRAL PARK WEST PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Sr Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |