| NPI | 1710450754 |
|---|---|
| Doing Business As | ASSOCIATED PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LYDIE FRITZ Business Administrator 618-622-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2021-12-06 |