| NPI | 1669011235 |
|---|---|
| Doing Business As | GREAT KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | OSHMI DUTTA CEO 210-888-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2020-10-13 |