NPI | 1225601495 |
---|---|
Doing Business As | SMILE AGAIN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | NATHAN LEE CEO 310-621-5345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-07-23 |