| Kids Dental Kare | |
|
10900 Long Beach Blvd Lynwood CA 90262-2688 | |
| (310) 632-0202 | |
| Not Available |
| Full Name | Kids Dental Kare |
|---|---|
| Speciality | Dentist |
| Location | 10900 Long Beach Blvd, Lynwood, California |
| Authorized Official Name and Position | Jerry Lanier (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3106320202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Kare 10900 Long Beach Blvd Lynwood CA 90262-2688 Ph: (310) 632-0202 | Kids Dental Kare 10900 Long Beach Blvd Lynwood CA 90262-2688 Ph: (310) 632-0202 |
| NPI Number | 1043444276 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043444276 | NPI | - | NPPES |
| 1356489660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40088 (California) | Primary |
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