Kids Dental Place

NPI #1093401101 in Crestview, Florida

Provider Information

NPI Number
1093401101
Entity Type
Organization
Organization Name
Kids Dental Place
Subpart
Yes (part of a larger organization)
Parent Organization
KIDS DENTAL PLACE
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 12, 2023
Last Updated
Apr 12, 2023

Practice Location

Address
101 4TH AVE STE B
State
Florida
ZIP Code
32539-2401
Phone
(850) 384-9171

Authorized Official

Name
DR. RACHEL WITCHER
Title
OWNER/DOCTOR
Phone
(850) 477-1722

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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