Individual provider · Type 1 NPI
Maria Sheu Kidwell, DDS
Pediatric Dentistry · Fresno, CA
NPI number
1134285877
Active
Practice location
1705 N Fine Ave, Ste. 102
Fresno, CA 93727
Fax (909) 558-0106
Mailing address
1865 Herndon Ave, Ste. K-245
Clovis, CA 93611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 41787 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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- Jeffrey Baird Evans, DDSPediatric Dentistry Fresno, CA NPI 1316102015
- Zachery Tyler DavisPediatric Dentistry Fresno, CA NPI 1336641000
- Farnaz F. ShahrakiPediatric Dentistry Fresno, CA NPI 1366945115
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About NPI 1134285877
Maria Sheu Kidwell, DDS's National Provider Identifier is 1134285877, issued on Dec 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fresno, CA. The record was last updated on Jul 2, 2020.