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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 # | 1245769439 |
| LBN Legal business name | BURLEY KIDS DENTAL, LLC |
| Authorized official | JOSH JENKINS - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/09/2017 |
| Last updated | 04/11/2023 - About 3 years ago |
| Identifiers | n/a |
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BURLEY KIDS DENTAL, LLC
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BURLEY KIDS DENTAL, LLC