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 # | 1942436167 |
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| LBN Legal business name | CHILDLREN'S DENTAL CARE LLC | ||||||||
| Authorized official | GEORGE HANKERSON - (DENTIST) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 06/02/2009 | ||||||||
| Last updated | 06/11/2009 - About 17 years ago | ||||||||
| Identifiers |
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