Kids Cavity Prevention Program Inc.

NPI #1659686848 in Yakima, Washington

Provider Information

NPI Number: 1659686848
Entity Type: Organization
Organization Name: Kids Cavity Prevention Program Inc.
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2010
Last Updated: Jan 30, 2012

Practice Location

Address: 8 E WASHINGTON AVE STE 202
City: Yakima
State: Washington
ZIP Code: 98903-1683
Phone: (509) 949-3095

Authorized Official

Name: MS. SUSANA WELLS-SANDOVAL
Title: PRESIDENT
Phone: (509) 949-3095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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