| NPI | 1013408749 |
|---|---|
| Doing Business As | SMILE MODERNE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS AUYONG Dentist 949-554-1563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 63831) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |