NPI | 1821651894 |
---|---|
Entity Type | Organization |
Authorized Contact | SAGE S YOO Pediatric Dentist/Partner 469-301-3212 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-30 |