| NPI | 1669298287 |
|---|---|
| Doing Business As | KIDS DENTAL PALS & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ALEX PENHASIAN CEO 310-500-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |