NPI | 1578071221 |
---|---|
Doing Business As | VILLAGE KIDS |
Entity Type | Organization |
Authorized Contact | CHRISTINA C PATE Revenue Cycle Director 910-484-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2018-01-16 |
Last Update Date | 2025-01-28 |