| NPI | 1578071221 |
|---|---|
| Doing Business As | VILLAGE KIDS |
| Entity Type | Organization |
| Authorized Contact | PAULA KAY FIX Insurance Manager 910-485-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-10-25 |