| NPI | 1235500455 |
|---|---|
| Doing Business As | GOTTA SMILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARLOS JACOBO Manager 209-952-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 38433) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 60242) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |