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 |