| NPI | 1043679061 |
|---|---|
| Doing Business As | SMILE NEEDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSE MARIANO CASTRO Owner 909-466-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 43911) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 43911) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |