NPI | 1205590015 |
---|---|
Doing Business As | SMILE CENTER OF WEST COVINA |
Entity Type | Organization |
Authorized Contact | EBI NIKJOO Owner 310-666-5807 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-27 |
Last Update Date | 2021-10-27 |