| NPI | 1316719438 |
|---|---|
| Doing Business As | DENTISTRY FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | GINNA HENDRICKS General Manager 505-603-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |