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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 | |||
General Practice |
1223G0001X |
| NPI Number | 1285184259 |
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| LBN Legal business name | CHILDREN'S CENTER FOR DENTISTRY PLLC | ||||||||
| Authorized official | GREGORY DIETZ - (OWNER & PROVIDER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/13/2016 | ||||||||
| Last updated | 05/28/2021 - About 5 years ago | ||||||||
| Identifiers |
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CHILDREN'S CENTER FOR DENTISTRY PLLC
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CHILDREN'S CENTER FOR DENTISTRY PLLC