| NPI | 1649721515 |
|---|---|
| Doing Business As | ELK GROVE KIDS DENTIST & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | VERONICA CORTES Office Manager 916-436-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 47882) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |