Organization
JOSEPH RAWLINS DENTAL CORPORATION
Active
Other names
Surfside Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KARI KENNEDY (DIRECTOR OF OPERATIONS)
(916) 271-0250
Entity
Organization
Contact information
Practice address
5010 LAGUNA BLVD STE 101, ELK GROVE, CA 95758-4148
(916) 271-0250
Mailing address
5010 LAGUNA BLVD STE 101, ELK GROVE, CA 95758-4148
(916) 271-0250
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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