| NPI | 1902629090 |
|---|---|
| Doing Business As | KIDZY DENTAL AND ORTHODONTIX |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEDJAT-HAIEM President 310-666-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |