| NPI | 1760904650 |
|---|---|
| Doing Business As | KINGSPORT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALEIGHIA B HELDERMAN Owner 502-649-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TN 9432) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |