| NPI | 1659591931 |
|---|---|
| Doing Business As | CHILDREN'S DENTAL BLDG |
| Entity Type | Organization |
| Authorized Contact | DONALD M BROWN Owner 562-924-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 17650) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 17650) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 31174) | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2015-05-08 |