Organization

Bubble Gum Kids Dentistry

Pediatric Dentist in Port Huron, MI(View on Map)

Legal Business Name

Bubble Gum Kids Dentistry

NPI Number

1285310128

NPI Type

Organization

Enumeration Date

06/26/2023

Specialties

(Taxonomies)

Code

1223P0221X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

460
460

City

Port Huron
Port Huron

State

MI
MI

Postal Code

48060
48060

Country

US
US

Telephone Number

(810) 984-5437
(810) 984-5437

Authorized Official

Name

Mrs. Amy Paundlay

Title or Position

SR. VICE PRESIDENT OF OPERATION

Telephone Number

(203) 400-9999

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/26/2023

Provider Address

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Organization

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