| NPI | 1942662457 |
|---|---|
| Doing Business As | SURFSIDE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RAWLINS President 916-229-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56958) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 51968) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-25 |