| Kids Smile Dental And Orthodontics | |
|
1021 S Main St Manteca CA 95337-5703 | |
| (209) 250-2600 | |
| (209) 250-2707 |
| Full Name | Kids Smile Dental And Orthodontics |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1021 S Main St, Manteca, California |
| Authorized Official Name and Position | Ahmed F Salem (OWNER) |
| Authorized Official Contact | 9168493174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Smile Dental And Orthodontics 1021 S Main St Manteca CA 95337-5703 Ph: (209) 250-2600 | Kids Smile Dental And Orthodontics 1021 S Main St Manteca CA 95337-5703 Ph: (209) 250-2600 |
| NPI Number | 1205476207 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205476207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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