| NPI | 1619545159 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEANNINE SASO Director Of Operations 916-479-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |