| NPI | 1033750195 |
|---|---|
| Doing Business As | KIDS CARE DENTAL & ORTHODONTICS - SAN JOSE |
| Entity Type | Organization |
| Authorized Contact | TREVOR SMITH CFO 916-444-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-02-09 |