| NPI | 1396360384 |
|---|---|
| Doing Business As | KIDS SMILE DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | AHMED SALEM CEO, Dds 209-573-0879 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |