| NPI | 1417585647 |
|---|---|
| Doing Business As | KIDS CARE DENTAL & ORTHODONTICS - LODI ORTHO |
| Entity Type | Organization |
| Authorized Contact | TREVOR SMITH CFO 916-340-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-02-09 |