| NPI | 1013194117 |
|---|---|
| Doing Business As | HEALTHY SMILES DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MARIA CORAZON CARLOS RABONZA President Owner 818-788-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45520) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |