NPI | 1154679488 |
---|---|
Doing Business As | SMILEWORKS OF REDONDO BEACH |
Entity Type | Organization |
Authorized Contact | ANKUR MOHINDRA Owner 310-303-7930 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |