| NPI | 1720374838 |
|---|---|
| Doing Business As | AMERICAN PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTONIO PENA Owner/President 415-216-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN17608) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |