Individual
DR. MARIA SHEU KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
41787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41787
DENTAL LICENSE
CA
Enumeration date
12/28/2006
Last updated
07/02/2020
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