| NPI | 1952891673 |
|---|---|
| Doing Business As | KIDS DENTIST PLUS |
| Entity Type | Organization |
| Authorized Contact | MEGAN CASTILLO Operations 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |