| NPI | 1972851921 |
|---|---|
| Doing Business As | THE CENTER FOR PEDIATRIC DENTISTRY AND SEDATION |
| Entity Type | Organization |
| Authorized Contact | AMY CUSTO Practice Manager 804-562-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401412000) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |