| NPI | 1285995209 |
|---|---|
| Doing Business As | SMILE WIDE |
| Entity Type | Organization |
| Authorized Contact | DANIEL HARVEY LEE Director/Owner 949-548-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2016-11-29 |