NPI | 1629827886 |
---|---|
Doing Business As | PORTSMOUTH PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRIAN MCGUIRE Pediatric Dentist/Owner 309-235-7257 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-05-17 |
Last Update Date | 2024-05-17 |