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.
taxonomy 1223P0221X
Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
taxonomy 122300000X
Dentist
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
taxonomy 1223X0400X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Lake Cities Pediatric Dentistry and Orthodontics
Type code 3recorded 2022-11-02
Lake Cities Pediatric Dentistry and Orthodontics
Type code 3recorded 2020-03-13
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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