| NPI | 1871963447 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CENTER, PC:SEDATION AND ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A CLINE Credentialing Specialist 770-672-7481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2023-10-09 |