| 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 |