NPI | 1215535182 |
---|---|
Doing Business As | SMILE BUILDER |
Entity Type | Organization |
Authorized Contact | MYUNG KEE PARK Owner 909-524-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-10-13 |
Last Update Date | 2020-10-14 |