| NPI | 1619602299 |
|---|---|
| Doing Business As | TINKER TOOTH PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREA CHADWICK SHELTON Owner 502-314-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |