NPI | 1710032305 |
---|---|
Doing Business As | DAYTON PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | GORDON W WOMACK Owner 937-641-5098 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 17287) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |