| NPI | 1457082208 |
|---|---|
| Doing Business As | MODESTO KIDS DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | HEATHER L RICH Manager 209-573-0879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-06-13 |