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 |