| NPI | 1588021398 |
|---|---|
| Doing Business As | CHILDRENS DENTAL PLACE |
| Entity Type | Organization |
| Authorized Contact | SUONG T LE Owner 510-375-0523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 52747) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-04-05 |