| NPI | 1952785339 |
|---|---|
| Doing Business As | SURFSIDE KIDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSEPH RAWLINS President 916-229-9941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51046) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2016-02-08 |