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 |