| NPI | 1932561040 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY AND ORTHODONTICS OF SUDBURY |
| Entity Type | Organization |
| Authorized Contact | KRISTINE SEIBEL Manager 987-443-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |