| NPI | 1184116618 |
|---|---|
| Doing Business As | KIDDIE CAVITY CARE |
| Entity Type | Organization |
| Authorized Contact | EPHRAIM L ALTMON Owner 240-606-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 16208) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-09-19 |