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 |