NPI | 1790461630 |
---|---|
Doing Business As | BUBBLE GUM KIDS DENTISTRY |
Entity Type | Organization |
Authorized Contact | AMY PAUNDLAY Sr. Vice President Of Operatopms 203-400-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-06-26 |
Last Update Date | 2023-06-26 |