| NPI | 1164819710 |
|---|---|
| Doing Business As | MYTOOTHSPA DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ANTHONY ESANO DE GUZMAN Administrator 916-919-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41390) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |