NPI | 1962075945 |
---|---|
Doing Business As | PANHANDLE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEPHEN ERIC BERRY President 850-481-1969 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-07-19 |