| NPI | 1043191232 |
|---|---|
| Doing Business As | SMILES OF LA JOLLA |
| Entity Type | Organization |
| Authorized Contact | ROUDABEH GHAFFARI Owner 858-422-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |