| NPI | 1508471392 |
|---|---|
| Doing Business As | CLOVER KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRY ELIZABETH DOTSON Office Manager 614-870-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-10 |