NPI | 1114705324 |
---|---|
Doing Business As | RANCHO SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | ALI SHAHRESTANI Owner 702-425-3639 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2023-09-19 |
Last Update Date | 2023-09-19 |