| NPI | 1225529464 |
|---|---|
| Doing Business As | SMY LIFE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARLOS LOPEZ DIAZ President 226-200-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 101712) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |