| NPI | 1073445789 |
|---|---|
| Doing Business As | SECOND STREET FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN KINGSTON President 310-451-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2026-05-29 |
| Last Update Date | 2026-06-07 |