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An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Dentistry |
1223P0221X |
| NPI Number | 1083987911 |
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| LBN Legal business name | FREMONT CHILDREN'S DENTISTRY, LLC | ||||
| Authorized official | VINCENT ROTHE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/23/2012 | ||||
| Last updated | 02/23/2012 - About 14 years ago | ||||
| Identifiers |
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FREMONT CHILDREN'S DENTISTRY, LLC