| NPI | 1174685382 |
|---|---|
| Doing Business As | CRYSTAL SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SAMER F BOTROS General Manager 714-754-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45093) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |