NPI | 1891219499 |
---|---|
Other Name | BRYAN PEDIATRIC DENTISTRY PC |
Entity Type | Organization |
Authorized Contact | KRISTINE DONNELLY Owner, Pediatric Dentist 979-703-2893 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2017-07-26 |
Last Update Date | 2024-06-12 |