NPI | 1063154003 |
---|---|
Doing Business As | SMILES WEST OF SAN BERNARDINO |
Entity Type | Organization |
Authorized Contact | BAROUIR ARSHAG DEIRMENJIAN Owner/CEO 310-497-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist, Endodontics | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-04-11 |