| Kids Dental Kare | |
|
14101 Paramount Blvd Paramount CA 90723-2607 | |
| (562) 529-8526 | |
| Not Available |
| Full Name | Kids Dental Kare |
|---|---|
| Speciality | Dentist |
| Location | 14101 Paramount Blvd, Paramount, California |
| Authorized Official Name and Position | Jerry Lanier (PRESIDENT/DENTIST) |
| Authorized Official Contact | 5625298526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Kare 14101 Paramount Blvd Paramount CA 90723-2607 Ph: (562) 529-8526 | Kids Dental Kare 14101 Paramount Blvd Paramount CA 90723-2607 Ph: (562) 529-8526 |
| NPI Number | 1467686592 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 05/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467686592 | NPI | - | NPPES |
| 1356489660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40088 (California) | Primary |
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