| NPI | 1184255911 |
|---|---|
| Doing Business As | KIDS CARE DENTAL & ORTHODONTICS - MODESTO |
| Entity Type | Organization |
| Authorized Contact | TREVOR SMITH CFO 916-444-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2023-02-09 |