| NPI | 1083051742 |
|---|---|
| Doing Business As | KIDS CARE DENTAL GROUP - FOLSOM |
| Entity Type | Organization |
| Authorized Contact | TREVOR SMITH CFO 844-616-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-02-01 |