| NPI | 1154105492 |
|---|---|
| Doing Business As | DENTISMILE |
| Entity Type | Organization |
| Authorized Contact | NAEL ALEJANDRINA BON QUILES Provider 619-272-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |