| NPI | 1790229375 |
|---|---|
| Doing Business As | BAY AREA KIDS DENTIST |
| Entity Type | Organization |
| Authorized Contact | YAHYA HATEM RADWAN Owner 408-736-3500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56047) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |