| NPI | 1568356236 |
|---|---|
| Doing Business As | RED TAIL DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MCKENZIE SORENSEN Dentist/President 619-460-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-05 |