| NPI | 1457643405 |
|---|---|
| Doing Business As | ALL KIDS DENTAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | VICKIE A. KASPRZYK President 209-338-8368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: pending) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: pending) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-02-08 |