| NPI | 1407926132 |
|---|---|
| Doing Business As | KIDS & FAMILY DENTAL PLACE |
| Doing Business As | KIDS DENTAL PLACE |
| Former Legal Business Name | BAYRAMYAN PROFESSIONAL DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | REBECCA MISNER President 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51044) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-06-19 |