| NPI | 1790283844 |
|---|---|
| Doing Business As | PIEDMONT PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NAOMI LANE President 320-260-0731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 10864) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |