| NPI | 1750119194 |
|---|---|
| Doing Business As | THE CHILDREN'S TOOTH SPA |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSE PINERO President/CEO 267-353-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-09-03 |