| NPI | 1154918944 |
|---|---|
| Doing Business As | SMILE TIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEGAN CASTILLO Operations Manager 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2021-02-11 |