| Dental Kidz Club | |
|
4140 Tyler St Riverside CA 92503-3445 | |
| (951) 324-1480 | |
| Not Available |
| Full Name | Dental Kidz Club |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4140 Tyler St, Riverside, California |
| Authorized Official Name and Position | Jihee Chun (PRESIDENT) |
| Authorized Official Contact | 9096483707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Kidz Club 210 W C St Ontario CA 91762-3404 Ph: (909) 984-4444 | Dental Kidz Club 4140 Tyler St Riverside CA 92503-3445 Ph: (951) 324-1480 |
| NPI Number | 1831496991 |
|---|---|
| Provider Enumeration Date | 02/24/2011 |
| Last Update Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831496991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 52047 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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