| NPI | 1598411514 |
|---|---|
| Doing Business As | SURFSIDE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARI KENNEDY Director Of Operations 916-271-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |