NPI | 1700366168 |
---|---|
Doing Business As | KIDS DENTIST PLUS |
Entity Type | Organization |
Authorized Contact | MEGAN CASTILLO Operations 916-781-6550 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-08-15 |
Last Update Date | 2018-08-15 |