| NPI | 1245085661 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL PLACE |
| Entity Type | Organization |
| Authorized Contact | SUONG T LE President 510-565-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |