| NPI | 1669642617 |
|---|---|
| Doing Business As | CHARLOTTESVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAUREN DIXON Office Manager 434-975-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410755) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-06-16 |