| NPI | 1720628985 |
|---|---|
| Doing Business As | SURFSIDE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEN SASO Director Of Operations 916-479-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |