| NPI | 1144427964 |
|---|---|
| Doing Business As | KIDDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JARED D EVANS Owner Dentist 509-891-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 10191) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2009-03-31 |