Organization
BUBBLE GUM KIDS DENTISTRY
Active
Other names
Bubble Gum Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY PAUNDLAY (SR. VICE PRESIDENT OF OPERATOPMS)
(203) 400-9999
Entity
Organization
Contact information
Practice address
15401 DIX TOLEDO RD, SOUTHGATE, MI 48195
(734) 999-9292
(734) 999-9393
Mailing address
15401 DIX TOLEDO RD, SOUTHGATE, MI 48195
(734) 999-9292
(734) 999-9393
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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