| NPI | 1104422245 |
|---|---|
| Doing Business As | SMILE DENTAL OF SOUTH SACRAMENTO |
| Entity Type | Organization |
| Authorized Contact | DAVID S PARK Dentist/Owner 310-403-1117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |