| NPI | 1053820522 |
|---|---|
| Doing Business As | GREAT SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | DALVIR S PANNU Owner & Partner Dentist 408-826-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |