| NPI | 1780331389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALINDA M. HUSSON Pediatric Dentist/Owner 304-926-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-11 |