NPI | 1811206675 |
---|---|
Doing Business As | PLAYTIME DENTAL |
Entity Type | Organization |
Authorized Contact | JACKSON COCKLEY Dentist/President 419-774-7529 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30021945) |
Enumeration Date | 2010-09-28 |
Last Update Date | 2011-12-28 |