| NPI | 1275847014 |
|---|---|
| Doing Business As | TUSTIN SMILE CARE |
| Entity Type | Organization |
| Authorized Contact | ANIL KUMAR MAHAJAN Owner 714-665-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 58280) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 57847) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |