| NPI | 1043895980 |
|---|---|
| Doing Business As | SPECIALTY SMILES KIDS FAMILY DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AL AZZAWI Member 916-595-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |