NPI | 1881120020 |
---|---|
Former Legal Business Name | DENTISTRY FOR CHILDREN, PA |
Entity Type | Organization |
Authorized Contact | HASSAM SULTAN Pediatric Dentist 860-501-9590 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02567900) |
Enumeration Date | 2017-05-09 |
Last Update Date | 2017-05-09 |