Organization Name: | CHILDREN DENTAL CARE, INC. |
NPI Number: | 1073939310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES TONG (DENTIST/OWNER) |
Mailing Address: | 803 Russell Ave Ste 2a Gaithersburg |
State: | MD US |
Postal Code: | 208793584 |
Phone Number: | 3012161780 |
Fax Number: | 3012582800 |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 12363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | 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. |