| NPI | 1972345734 |
|---|---|
| Doing Business As | KEYSTONE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EMILY M MELLION Owner 304-483-5792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |