NPI | 1679004584 |
---|---|
Doing Business As | GASTONIA PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | LAETITIA SERY Dentist/Owner 704-860-0945 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8474) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |