| NPI | 1437580644 |
|---|---|
| Doing Business As | HEAVENLY KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELSA WENDY HERNANDEZ Dentist/Owner 323-484-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56388) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2015-01-16 |