NPI | 1730268079 |
---|---|
Doing Business As | CHILDREN'S SURGICAL ASSOCIATES LTD |
Entity Type | Organization |
Authorized Contact | LINDA FLOCCO Executive Director 267-425-9538 |
Organization Subpart ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 122300000X Dentist |
1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
1223E0200X Dentist, Endodontics | |
1223G0001X Dentist, General Practice | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2024-07-11 |