| NPI | 1811154768 |
|---|---|
| Doing Business As | KIDS DENTAL LAND |
| Entity Type | Organization |
| Authorized Contact | DANIEL SUR CEO 661-607-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51139) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-06-03 |