| NPI | 1083883508 |
|---|---|
| Doing Business As | LODI HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | GLADYS RIVERA SALVA CRUZ President 408-310-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |