| NPI | 1841030681 |
|---|---|
| Doing Business As | CHILDRENS DENTAL OF COUNCIL BLUFF |
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DASCH Director Of Cred Of Pr 615-678-0759 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |