| NPI | 1629602529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN CLAUDE GUNNELS Pediatric Dentist (Pedodontist) 251-455-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |