Organization
DR. HEIDI'S KID'S DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI HAME D.D.S.,MS (OWNER)
(661) 949-0120
Entity
Organization
Contact information
Practice address
43731 15TH ST W STE C, LANCASTER, CA 93534-4785
(661) 949-0120
(661) 942-2370
Mailing address
43731 15TH ST W STE C, LANCASTER, CA 93534-4785
(661) 949-0120
(661) 942-2370
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B38689-01
—
CA
Enumeration date
10/11/2007
Last updated
02/28/2017
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