| NPI | 1063802551 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | DANIEL HARVEY LEE President 949-596-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2016-11-08 |