| NPI | 1548429160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY M JONES Pediatric Dentist/Owner 251-626-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AL 5534) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |