| Kids Dental Place | |
|
101 4th Ave Ste B Crestview FL 32539-2401 | |
| (850) 384-9171 | |
| Not Available |
| Full Name | Kids Dental Place |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 101 4th Ave Ste B, Crestview, Florida |
| Authorized Official Name and Position | Rachel Witcher (OWNER/DOCTOR) |
| Authorized Official Contact | 8504771722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Place 3201 E Olive Rd Ste B Pensacola FL 32514-7237 Ph: (850) 477-1722 | Kids Dental Place 101 4th Ave Ste B Crestview FL 32539-2401 Ph: (850) 384-9171 |
| NPI Number | 1093401101 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093401101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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