| NPI | 1518375328 |
|---|---|
| Doing Business As | CLEAR LAKE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HILARY ANN REYNOLDS President/Dentist 641-231-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA 08186) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |