Kids 2 Dentist LLC

NPI #1578214680 in Visalia, California

Provider Information

NPI Number: 1578214680
Entity Type: Organization
Organization Name: Kids 2 Dentist LLC
Primary Specialty: Dentist
Enumeration Date: Jan 11, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 1814 N DINUBA BLVD
City: Visalia
State: California
ZIP Code: 93291-3014
Phone: (323) 203-2564

Authorized Official

Name: JERRY LEE LANIER
Title: MEMBER
Phone: (323) 461-9942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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