NPI | 1093131807 |
---|---|
Doing Business As | SMILE WIDE |
Entity Type | Organization |
Authorized Contact | KIAVASH KEVIN BADII Director/Owner 714-835-2383 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2014-03-17 |
Last Update Date | 2015-03-30 |