NPI | 1881281913 |
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Doing Business As | LOLLIPOP PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MARY REGINA PHAM CEO Pediatric Dentisty 714-528-8252 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-12-22 |
Last Update Date | 2020-12-22 |