| NPI | 1174160584 |
|---|---|
| Doing Business As | MENLO PARK SMILES |
| Entity Type | Organization |
| Authorized Contact | SAMANEH DAFTARIAN President 832-331-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |