NPI | 1578658373 |
---|---|
Doing Business As | THE CHILDREN'S DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | CLYDE ARMSTRONG MUSGRAVE Pediatric Dentist 662-893-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 3136-00) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2022-05-23 |