NPI | 1710642855 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON COYLE CESTARI Pediatric Dentist/Owner 214-794-7262 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-11-03 |
Last Update Date | 2021-11-03 |