| NPI | 1306338033 |
|---|---|
| Doing Business As | CHARLESTON SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | WANNI LIE Owner 714-845-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-02-27 |