Organization · Type 2 NPI

Bubble Gum Kids Dentistry

Pediatric Dentistry · Southgate, MI

NPI number 1790461630 Active

Practice location

15401 Dix Toledo Rd
Southgate, MI 48195

Fax (734) 999-9393

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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.

2 other providers at this address

About NPI 1790461630

Bubble Gum Kids Dentistry's National Provider Identifier is 1790461630, issued on Jun 26, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southgate, MI. The record was last updated on Jun 26, 2023.