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 | |
|---|---|---|
| * | Pediatric Dentistry | 1223P0221X |
* Indicates primary specialty
| NPI Number | 1487025268 |
| Legal business name LBN |
TUNDRA KIDS DENTISTRY LLC |
| Authorized official | CHRISTINE ROALOFS - (PEDIATRIC DENTIST) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 10/19/2015 |
| Last updated | 10/19/2015 - About 11 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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