| NPI | 1699144022 | 
|---|---|
| Doing Business As | KIDS N MORE DENTIST | 
| Entity Type | Organization | 
| Authorized Contact | JOSHUA LEE RACKHAM Dentist 801-920-8772  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27186)  | 
| Enumeration Date | 2015-09-16 | 
| Last Update Date | 2015-09-16 |