| NPI | 1568218717 |
|---|---|
| Doing Business As | TOWN CENTER PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L CANNON Revenue Cycle Management 757-869-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |