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 |