| NPI | 1063935823 |
|---|---|
| Doing Business As | DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: WA 600304660-001-0035) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: WA 600304660-001-0035) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-11-01 |