| NPI | 1114671997 |
|---|---|
| Doing Business As | LAUREL SMILE DENTISTRY |
| Doing Business As | OAKLAND SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MUSSIE SIBHATU Dentist Owner 510-520-1533 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |