NPI | 1770712804 |
---|---|
Doing Business As | CAROUSEL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | REBECCA R PEREZ Credentialer 512-788-4801 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2009-07-10 |
Last Update Date | 2009-07-10 |