| NPI | 1083000236 |
|---|---|
| Doing Business As | JUNGLE OF SMILES |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A. RYERSON Assistant 949-716-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 48300) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 50990) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |