NPI | 1851707178 |
---|---|
Doing Business As | KIDS CARE DENTAL & ORTHODONTICS - NATOMAS |
Entity Type | Organization |
Authorized Contact | DEREK BOYES CEO 916-570-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47785) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2014-07-08 |
Last Update Date | 2023-02-09 |