Organization
CALIFORNIA KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BATTISTA (DIRECTOR OF OPERATIONS)
(949) 548-5588
Entity
Organization
Contact information
Practice address
308 W STATE ST #4A, REDLANDS, CA 92373
(909) 798-2755
Mailing address
4980 BARRANCA PKWY STE 101, IRVINE, CA 92604-8654
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
61747
CA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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