| NPI | 1083958961 |
|---|---|
| Doing Business As | HEALTHY SMILE DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARIA VIRGINIA BRAVO-ESPINOZA Dentist 909-251-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2016-02-24 |