| NPI | 1063841096 |
|---|---|
| Doing Business As | DAVIS SMILES DENTISTRY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SERGIO VICUNA Owner Doctor 310-451-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |