| NPI | 1235896309 |
|---|---|
| Doing Business As | MIRA MESA SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALIA H BAYDOUN Owner 619-704-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |