| Surfside Kids Dental | |
|
5010 Laguna Blvd Elk Grove CA 95758-4148 | |
| (916) 442-7873 | |
| Not Available |
| Full Name | Surfside Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5010 Laguna Blvd, Elk Grove, California |
| Authorized Official Name and Position | Timothy Lyons (PRESIDENT) |
| Authorized Official Contact | 9164427873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Kids Dental Po Box 4785 El Dorado Hills CA 95762-0024 Ph: (916) 229-9941 | Surfside Kids Dental 5010 Laguna Blvd Elk Grove CA 95758-4148 Ph: (916) 442-7873 |
| NPI Number | 1912347212 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 02/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912347212 | NPI | - | NPPES |
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