| NPI | 1659910792 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF ELIZABETHTOWN |
| Entity Type | Organization |
| Authorized Contact | BEENASH ANWER Owner/ Provider 270-600-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-11-12 |