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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 |
| NPI # | 1275937872 |
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| LBN Legal business name | SUPER SMILES DENTISTRY FOR CHILDREN, PC | ||||
| Authorized official | HOWARD PACTOVIS - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/10/2014 | ||||
| Last updated | 10/10/2014 - About 12 years ago | ||||
| Identifiers |
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SUPER SMILES DENTISTRY FOR CHILDREN, PC