| NPI | 1194146498 |
|---|---|
| Doing Business As | CALIFORNIA SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JACKQUELINE M MARTINEZ President 909-556-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 41955) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2024-08-07 |