| NPI | 1154063386 |
|---|---|
| Doing Business As | KIDS DENTIST PLUS |
| Entity Type | Organization |
| Authorized Contact | MEGAN CASTILLO Manager 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |