| NPI | 1114541372 |
|---|---|
| Doing Business As | KIDS DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | EDWARD LEE VERA Owner Dentist 915-444-2567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |