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 | |||
General Practice |
1223G0001X |
| NPI # | 1487393930 |
| LBN Legal business name | KUUMBA COMMUNITY HEALTH AND WELLNESS CENTER INC. |
| Authorized official | JONATHAN STEWART - (CHIEF EXECUTIVE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 06/02/2022 |
| Last updated | 06/07/2022 - About 4 years ago |
| Identifiers | n/a |
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