| NPI | 1043727415 |
|---|---|
| Doing Business As | KIDS DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | EDWARD LEE VERA Owner 915-444-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 29646) |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2023-11-02 |