| NPI | 1518171115 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHRISTI J LAWSON Receptionist 541-928-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |