| NPI | 1831606094 |
|---|---|
| Doing Business As | DANVILLE PEDIATRIC DENTISTRY DOWNTOWN |
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD JOHNSON Manager 859-327-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |