| NPI | 1356094155 |
|---|---|
| Doing Business As | KIDS 2 DENTIST DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JERRY LEE LANIER President/Owner 323-203-2564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-03-17 |