| NPI | 1184780587 |
|---|---|
| Doing Business As | MAKE A SMILE |
| Entity Type | Organization |
| Authorized Contact | MONICA TAVALLAEI Pediatric Dentist 916-941-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48036) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-08-04 |