NPI | 1811264161 |
---|---|
Doing Business As | JUST FOR KIDS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RICK J NICHOLS Owner/Dentist 909-798-0604 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 40973) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2021-05-11 |