| NPI | 1932684297 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL HAVEN |
| Entity Type | Organization |
| Authorized Contact | JEMIMA POITEVIEN Owner 405-923-8289 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |