| NPI | 1003415696 |
|---|---|
| Doing Business As | KIDS DENTAL TREE |
| Entity Type | Organization |
| Authorized Contact | KYONA HALEY Practice Manager 907-336-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |