| NPI | 1689382459 |
|---|---|
| Doing Business As | KIDS DENTAL HOME |
| Entity Type | Organization |
| Authorized Contact | KALEB THOMPSON Owner 801-636-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |