| NPI | 1669707279 |
|---|---|
| Doing Business As | THE CHILDREN'S DENTAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES S RICKS Owner 559-625-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 23135) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2013-11-12 |