PEDIATRIC DENTISTRY OF LOS ALTOS NPI 1679797930

NPI Information

PEDIATRIC DENTISTRY OF LOS ALTOS is a pediatric dentistry dentist in Los Altos, CA. The provider is 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. PEDIATRIC DENTISTRY OF LOS ALTOS NPI is 1679797930. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Dentistry Of Los Altos.

The provider's business location address is:

731 ALTOS OAKS DR
LOS ALTOS, CA
ZIP 94024-402
Phone: (650) 948-6884
Fax: (650) 948-7244

The provider's authorized official is James Kelly .
The authorized official title is Dentist and has the following contact phone number (650) 948-6884.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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