| NPI | 1063290161 |
|---|---|
| Doing Business As | MY KIDS DENTIST AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KELLY KIM Owner 951-543-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |