NPI | 1295052785 |
---|---|
Doing Business As | KIDS DENTAL KARE |
Entity Type | Organization |
Authorized Contact | JERRY LEE LANIER President/CEO 323-461-9942 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO B40088) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2010-04-23 |