| NPI | 1518690429 |
|---|---|
| Doing Business As | A KIDZ DENTIST |
| Entity Type | Organization |
| Authorized Contact | KOLBY LANCE Owner 435-790-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2023-01-19 |