NPI | 1972946788 |
---|---|
Doing Business As | SUNNY HILLS PEDIATRIC DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JAMIE L FAIRCHILD Owner 208-690-0366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 28629) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |