| NPI | 1194115154 |
|---|---|
| Doing Business As | MAKE A SMILE |
| Entity Type | Organization |
| Authorized Contact | MEGAN POOLE Operations Manager 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57611) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |