| NPI | 1093472268 |
|---|---|
| Doing Business As | A KIDZ CLINIC |
| Entity Type | Organization |
| Authorized Contact | DIANE DOCKTER Executive Director 970-874-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2023-08-02 |