NPI | 1861859811 |
---|---|
Doing Business As | ANGEL SMILE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | VALERIA KRESEVIC Pediatric Dentist 585-752-2996 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25141) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-01-21 |