NPI | 1912556895 |
---|---|
Doing Business As | PEDIATRIC DENTAL CLINIC AT LEBONHEUR |
Entity Type | Organization |
Authorized Contact | ANTHONY A FERRARA Sr. Vice Chancellor/ Chief Financia 901-448-5523 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 122300000X Dentist |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0700X Dentist, Prosthodontics | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2020-02-13 |