NPI | 1740510775 |
---|---|
Doing Business As | PEDIATRIC DENTAL SPECIALTIES |
Entity Type | Organization |
Authorized Contact | BRADLEY W WILKINSON Dentist 901-761-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN DS005140) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2010-01-14 |