| Capitola Kids Dentistry | |
|
2001 40th Ave Suite G Capitola CA 95010-2536 | |
| (831) 464-5555 | |
| (831) 464-5558 |
| Full Name | Capitola Kids Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2001 40th Ave, Capitola, California |
| Authorized Official Name and Position | Andrea Reder (OFFICE MANAGER) |
| Authorized Official Contact | 8314645555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitola Kids Dentistry 2001 40th Ave Suite G Capitola CA 95010-2536 Ph: (831) 464-5555 | Capitola Kids Dentistry 2001 40th Ave Suite G Capitola CA 95010-2536 Ph: (831) 464-5555 |
| NPI Number | 1780045880 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780045880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 56012 (California) | Primary |
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