NPI | 1821633512 |
---|---|
Former Legal Business Name | BABY2TEENS PEDIATRIC DENTISTRY PLLC |
Entity Type | Organization |
Authorized Contact | CARLOS CRUZ CHU Pediatric Dentist 540-228-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-11-17 |
Last Update Date | 2022-07-07 |