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An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X |
| NPI Number | 1134570997 |
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| LBN Legal business name | GROWING SMILES, PLLC | ||||||||||||||||
| Authorized official | JULIE SPINEK - (GENERAL MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 06/23/2016 | ||||||||||||||||
| Last updated | 06/23/2016 - About 10 years ago | ||||||||||||||||
| Identifiers |
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GROWING SMILES, PLLC