KOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC NPI 1538798475

NPI Information

KOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC is a pediatric dentistry dentist in Bear, DE. The provider is 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. KOOL KOALA PEDIATRIC & ADOLESCENT DENTISTRY LLC NPI is 1538798475. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1126 PULASKI HWY
BEAR, DE
ZIP 19701-306
Phone: (856) 230-0924

The provider's authorized official is Frederick Ballard .
The authorized official title is Owner/operator and has the following contact phone number (856) 230-0924.

The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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