| NPI | 1154793206 |
|---|---|
| Doing Business As | BIG SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | EVANGELINE MEMORACION Owner 408-600-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56995) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |