| NPI | 1770869968 |
|---|---|
| Doing Business As | GERMANTOWN PEDIATRIC DENTAL & ORTHODONTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Insurance Planning Manager 877-875-7408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MD 13848) |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |