| NPI | 1700762481 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY OF COUNCIL BLUFFS |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE V DASCH Sr Director Of Credentialing 504-638-0303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-15 |
| Last Update Date | 2025-08-15 |