| Kids Dental Group | |
|
833 Greenfield Ave #105 Hanford CA 93230-3672 | |
| (559) 582-0238 | |
| (559) 582-1365 |
| Full Name | Kids Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 833 Greenfield Ave, Hanford, California |
| Authorized Official Name and Position | Wiley M Elick (PRESIDENT) |
| Authorized Official Contact | 5595820238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Group 833 Greenfield Ave #105 Hanford CA 93230-3672 Ph: (559) 582-0238 | Kids Dental Group 833 Greenfield Ave #105 Hanford CA 93230-3672 Ph: (559) 582-0238 |
| NPI Number | 1912350364 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912350364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21245 (California) | Primary |
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