| NPI | 1275341893 |
|---|---|
| Doing Business As | TOOTH BERRY KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | EMAN ABDELMOTTI GHONEIM General Dentist 916-926-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |