| NPI | 1962800490 |
|---|---|
| Doing Business As | THE SUPERDENTISTS |
| Entity Type | Organization |
| Authorized Contact | NICOLE POTTS Manager 619-216-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |