Kids Dental Partners, LLC
NPI #1568883338 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1568883338
- Entity Type
- Organization
- Organization Name
- Kids Dental Partners, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 22, 2013
- Last Updated
- Aug 2, 2016
Practice Location
- Address
- 751 TRINITY DR STE 305
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-3356
- Phone
- (505) 661-9060
Authorized Official
- Name
- WILLIAM NICHOLS, DDS
- Title
- DIRECTOR
- Phone
- (505) 660-5081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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