| NPI | 1962745992 |
|---|---|
| Doing Business As | BROOKDALE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHELITA KAYE KELLEY Owner/Dentist 704-599-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7311) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |