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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 | 1174706725 |
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| LBN Legal business name | KITCHENS PEDIATRIC DENTISTRY, PLLC | ||||||||
| Authorized official | CLOVIS KITCHENS - (DENTIST/OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/06/2007 | ||||||||
| Last updated | 12/28/2011 - About 14 years ago | ||||||||
| Identifiers |
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