NPI | 1801843289 |
---|---|
Doing Business As | CHILDREN'S DENTAL ARK |
Entity Type | Organization |
Authorized Contact | CHERYL STASNY SELLERS President 830-625-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2006-05-30 |
Last Update Date | 2012-04-03 |