| Kidz Dental Care | |
|
11239 Tampa Ave Suite 208 Northridge CA 91326-1615 | |
| (818) 368-6277 | |
| (818) 366-2491 |
| Full Name | Kidz Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11239 Tampa Ave, Northridge, California |
| Authorized Official Name and Position | Charlotte Elizabeth Roberson (PRESIDENT) |
| Authorized Official Contact | 8183686266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Dental Care 11239 Tampa Ave Suite 208 Northridge CA 91326-1615 Ph: (818) 368-6277 | Kidz Dental Care 11239 Tampa Ave Suite 208 Northridge CA 91326-1615 Ph: (818) 368-6277 |
| NPI Number | 1316170210 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316170210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 29997 (California) | Primary |
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