| NPI | 1609113703 |
|---|---|
| Doing Business As | A KIDZ DENTAL ZONE OF THE DALLES |
| Entity Type | Organization |
| Authorized Contact | MELLISSA RENNER Regional Operations Manager 541-667-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR 7666) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2019-10-07 |