NPI | 1790296226 |
---|---|
Doing Business As | LUBBOCK DENTISTRY FOR KIDS |
Entity Type | Organization |
Authorized Contact | JEFF REIBEL CFO 502-254-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2017-10-24 |
Last Update Date | 2023-09-05 |