| Kids 2 Dentist Dental Group | |
|
815 Cecil Ave Delano CA 93215-1716 | |
| (559) 589-8600 | |
| Not Available |
| Full Name | Kids 2 Dentist Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 815 Cecil Ave, Delano, California |
| Authorized Official Name and Position | Jerry Lee Lanier (PRESIDENT) |
| Authorized Official Contact | 3234619942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids 2 Dentist Dental Group 5449 Hollywood Blvd Ste A Los Angeles CA 90027-3454 Ph: (559) 589-8600 | Kids 2 Dentist Dental Group 815 Cecil Ave Delano CA 93215-1716 Ph: (559) 589-8600 |
| NPI Number | 1164123519 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164123519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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