NPI | 1982317657 |
---|---|
Doing Business As | THE BABY TEETH STUDIO |
Entity Type | Organization |
Authorized Contact | JENNIFER Y VILLALTA Pediatric Dentist, Owner 707-228-5974 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2022-12-27 |
Last Update Date | 2022-12-27 |