| NPI | 1871951525 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TONYA R TRIPLETT Owner/Partner 479-582-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |