| NPI | 1871229500 |
|---|---|
| Doing Business As | SURFISDE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIELLE C SMITH Operations Manager 650-282-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |