| 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 |