| NPI | 1689261935 |
|---|---|
| Former Legal Business Name | KENNETH HINDS DDS, INC. |
| Entity Type | Organization |
| Authorized Contact | DAMON ASHLEY ANDERSON Owner 949-643-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |