| NPI | 1003313925 |
|---|---|
| Doing Business As | KIDS PLACE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHIU Dentist 510-969-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 63100) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2021-03-08 |