| NPI | 1508372749 |
|---|---|
| Doing Business As | SANTA CLARITA CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRACY GLENDA GORTON Chief Operation Officer 661-945-0701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA DDS100026) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-01-02 |