NPI | 1891014239 |
---|---|
Doing Business As | GROOVY MOLAR PEDIATRIC DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRAD C SINGLETON Owner 512-810-1378 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21128) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-05-25 |