| NPI | 1851105316 |
|---|---|
| Doing Business As | KERN KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDSAY SHACK Project Manager 646-684-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |