| NPI | 1851954903 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN ARTHUR ACOSTA Owner/Provider 901-288-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-04-15 |