| NPI | 1255510160 |
|---|---|
| Doing Business As | GREAT SMILE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WOO JUNG LEE CEO 916-784-6510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50484) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |