| NPI | 1174641211 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL CENTER OF ELK GROVE |
| Entity Type | Organization |
| Authorized Contact | AARON P REEVES President 916-683-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47785) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2008-06-13 |