| NPI | 1063893899 |
|---|---|
| Doing Business As | KIDS CARE DENTAL & ORTHODONTICS - MANTECA |
| Entity Type | Organization |
| Authorized Contact | TREVOR SMITH CFO 209-824-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-02-09 |