| 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 |