| NPI | 1073900858 |
|---|---|
| Doing Business As | ELEVATED SMILES |
| Entity Type | Organization |
| Authorized Contact | THANH LUU Dentist 951-333-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 62972) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |