An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
ID license #D1664taxonomy 1223P0221X
Identifiers
Type
Value
Notes
05 (ID)
806808801
05 (ID)
806808800
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Kidds Dental
Type code 3recorded 2007-02-07
Practice context
Multi-provider organization.
4 individual providers on file at this primary address.
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