| NPI | 1952969396 |
|---|---|
| Doing Business As | KIDS DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | NIKKY SHOTWELL CEO 470-747-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |