Organization
KIDS DENTAL PLACE
Active
Parent organization
KIDS DENTAL PLACE
Other names
Crestview Wild Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS DENTAL PLACE
Authorized official
DR. RACHEL WITCHER (OWNER/DOCTOR)
(850) 477-1722
Entity
Organization
Contact information
Practice address
101 4TH AVE STE B, CRESTVIEW, FL 32539-2401
(850) 384-9171
Mailing address
3201 E OLIVE RD STE B, PENSACOLA, FL 32514-7237
(850) 477-1722
(850) 476-8108
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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