Organization
THE CHILDREN'S TOOTH SPA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER R PINERO DMD (PRESIDENT/CEO)
(267) 296-1010
Entity
Organization
Contact information
Practice address
801 N 2ND ST, PHILADELPHIA, PA 19123-3090
(267) 296-1010
Mailing address
801 N 2ND ST, PHILADELPHIA, PA 19123-3090
(267) 296-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
06/26/2021
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