| NPI | 1144771445 |
|---|---|
| Doing Business As | DR. SMILE SAN PEDRO |
| Entity Type | Organization |
| Authorized Contact | KAYVON JAVID Owner/Dds 310-548-8128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 48617) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-07-08 |