NPI | 1992706055 |
---|---|
Doing Business As | ZOOKA SUPER TOOTHCARE FOR KIDS |
Entity Type | Organization |
Authorized Contact | REX SHANNON GIBSON Owner 541-318-5688 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D7724) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2020-08-22 |