| NPI | 1023467941 |
|---|---|
| Doing Business As | SMILE RANGERS DENTAL |
| Entity Type | Organization |
| Authorized Contact | NISHA SUNDARAGOPAL Chief Dental Officer 408-203-9810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27303) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 27303) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |