| NPI | 1275313132 |
|---|---|
| Doing Business As | KIDZ DENTAL HOME |
| Entity Type | Organization |
| Authorized Contact | OTHMAN SIJLAMASSI President 818-370-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |