| NPI | 1053798157 |
|---|---|
| Doing Business As | GREAT SMILES PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L ANGELOPOULOS Partner 760-944-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 52708) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 41735) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |