| NPI | 1962167809 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY OF BRANSON |
| Entity Type | Organization |
| Authorized Contact | ADAM MICHAEL BENNETT Owner/Doctor 870-577-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-06 |