| NPI | 1619579349 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRICE W SUMNER President 662-844-3315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |