Organization · Type 2 NPI
Childrens Dentistry
Pediatric Dentistry · Ontario, OR
NPI number
1790225399
Active
Practice location
515 W Idaho Ave
Ontario, OR 97914-2348
Fax (208) 467-5199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D10349 (OR) |
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.
About NPI 1790225399
Childrens Dentistry's National Provider Identifier is 1790225399, issued on Mar 1, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Ontario, OR. The record was last updated on Mar 1, 2017.