| NPI | 1013118488 |
|---|---|
| Doing Business As | SMILE GALLERY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID M DATU Dr Datu Pres Owner 714-998-2241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40568) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2015-05-26 |