| NPI | 1518537646 |
|---|---|
| Doing Business As | SUNNYSIDE DENTISTRY FOR CHILDREN |
| Entity Type | Organization |
| Authorized Contact | DUSTIN DAVIS Pediatric Dentist/Practice Owner 951-526-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |