| NPI | 1902991763 |
|---|---|
| Doing Business As | CHILDRENS DENTISTRY OF CHARLOTTESVILLE |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MICHELE CARNEY President 434-817-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401410463) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-07-07 |