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 |