NPI | 1811519507 |
---|---|
Doing Business As | WEST HAVEN PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEPHANIE SILVA Owner Dentist 803-426-3826 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-05-15 |
Last Update Date | 2021-12-26 |